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General NPI Number Information
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NPI Number | 1720108210
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Entity Type | Organization
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Legal Business Name | TREASURE COAST CARDIOLOGY PA
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 1713 HWY 441 N SUITE B
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City | OKEECHOBEE
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State | FL
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Zip | 34972
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Country | US
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Telephone | 863-467-9400
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Fax | 863-467-8708
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Provider Business Mailing Address
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Address Line | 1713 HWY 441 N SUITE B
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City | OKEECHOBEE
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State | FL
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Zip | 34972
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Country | US
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Telephone | 863-467-9400
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Fax | 863-467-8708
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAKOOR A. ARAIN
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Credential | MD
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Telephone | 863-467-9400
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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 | ME70365
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License Number State | FL
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