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General NPI Number Information
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NPI Number | 1598861593
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Entity Type | Organization
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Legal Business Name | HEART RHYTHM MANAGEMENT PC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 3130 N SWAN RD
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City | TUCSON
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State | AZ
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Zip | 85712-1227
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Country | US
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Telephone | 520-323-7277
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Fax | 520-881-1968
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Provider Business Mailing Address
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Address Line | PO BOX 43100
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City | TUCSON
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State | AZ
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Zip | 85733-3100
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Country | US
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Telephone | 520-722-3777
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Fax | 520-296-6224
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENIGNO F DECENA III
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Credential | MD
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Telephone | 520-795-3963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 32303
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License Number State | AZ
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