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General NPI Number Information
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NPI Number | 1639599269
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Entity Type | Organization
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Legal Business Name | AMARILLO HEART CENTER LLC
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 1901 PORT LN
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City | AMARILLO
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State | TX
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Zip | 79106-2430
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Country | US
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Telephone | 806-358-4714
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Fax | 806-468-0283
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Provider Business Mailing Address
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Address Line | 1901 PORT LN
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City | AMARILLO
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State | TX
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Zip | 79106-2430
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Country | US
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Telephone | 806-358-4596
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Fax | 806-358-6726
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Authorized Official
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Title or Position | C.E.O.
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Name | MRS. TERRI MARTINEZ
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Credential |
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Telephone | 806-358-4596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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