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General NPI Number Information
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NPI Number | 1720045149
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Entity Type | Organization
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Legal Business Name | THE HEART GRP PL
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8540 COLLEGE PARKWAY
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City | FT MYERS
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State | FL
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Zip | 33919
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Country | US
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Telephone | 239-433-8888
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Fax | 239-433-8819
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Provider Business Mailing Address
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Address Line | PO BOX 07069
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City | FT MYERS
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State | FL
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Zip | 33919
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Country | US
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Telephone | 239-433-8888
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Fax | 239-433-8819
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Authorized Official
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Title or Position | ADMINISTRATOR CEO
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Name | MR. JAMES C LANGLEY JR.
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Credential |
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Telephone | 239-433-8888
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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 |
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License Number State |
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