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General NPI Number Information
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NPI Number | 1730190190
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Entity Type | Organization
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Legal Business Name | EKG ASSOCIATES INC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 703 N FLAMINGO RD - EKG READERS PANEL
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1006
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Country | US
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Telephone | 954-726-1808
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Fax | 954-726-1820
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Provider Business Mailing Address
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Address Line | PO BOX 919604
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City | ORLANDO
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State | FL
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Zip | 32891-9604
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Country | US
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Telephone | 954-726-1808
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Fax | 954-726-1820
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BARRY D HARRIS
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Credential | MD
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Telephone | 954-354-2600
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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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