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General NPI Number Information
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NPI Number | 1659412427
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Entity Type | Organization
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Legal Business Name | HEART MEDICAL, PLLC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 145 E 15TH ST SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10003-3531
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Country | US
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Telephone | 718-336-4806
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Fax | 718-336-4308
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Provider Business Mailing Address
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Address Line | 1833 E 13TH ST SUITE 1B
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City | BROOKLYN
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State | NY
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Zip | 11229-2894
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Country | US
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Telephone | 718-336-4806
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Fax | 718-336-4308
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROSE MARIE CARRERA
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Credential | M.D.
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Telephone | 718-336-4806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 215539
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License Number State | NY
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