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General NPI Number Information
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NPI Number | 1710583315
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Entity Type | Organization
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Legal Business Name | HEARTFUL CARDIOLOGY, PLLC
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1400 HIGHWAY 287 N STE 100
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City | MANSFIELD
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State | TX
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Zip | 76063-9210
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Country | US
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Telephone | 817-752-5242
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Fax | 205-894-7685
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Provider Business Mailing Address
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Address Line | 1400 HIGHWAY 287 N STE 100
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City | MANSFIELD
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State | TX
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Zip | 76063-9210
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Country | US
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Telephone | 817-752-5242
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Fax | 205-894-7685
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BABATUNDE KOMOLAFE
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Credential | M.D.
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Telephone | 205-880-7887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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