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NPI 1669774808

NPI 1669774808 : HEART RHYTHM SPECIALISTS : CLINTON, MD

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General NPI Number Information
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    NPI Number           |    1669774808
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEART RHYTHM SPECIALISTS 
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Dates
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    Enumeration Date     |    11/19/2010
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    Last Update Date     |    11/19/2010
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Provider Practice Location Address
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    Address Line         |    7501 SURRATTS RD 208A
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    City                 |    CLINTON
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    State                |    MD
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    Zip                  |    20735-3362
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    Country              |    US
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    Telephone            |    301-412-6797
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    Fax                  |    301-838-8539
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Provider Business Mailing Address
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    Address Line         |    10705 MAPLECREST LN 
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    City                 |    POTOMAC
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    State                |    MD
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    Zip                  |    20854-6362
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    Country              |    US
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    Telephone            |    301-412-6797
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    Fax                  |    301-838-8539
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. SUNG W LEE 
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    Credential           |    M.D.
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    Telephone            |    301-412-6797
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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       |    
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    License Number State |    
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