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General NPI Number Information
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NPI Number | 1730320656
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Entity Type | Organization
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Legal Business Name | HEART AND VASCULAR SPECIALISTS, PC
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 21785 FILIGREE CT SUITE # 215
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City | ASHBURN
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State | VA
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Zip | 20147-6213
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Country | US
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Telephone | 609-696-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 21785 FILIGREE CT SUITE # 215
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City | ASHBURN
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State | VA
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Zip | 20147-6213
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Country | US
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Telephone | 732-231-6520
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ATHER ANIS
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Credential | M.D.
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Telephone | 609-969-0049
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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 | 0101243778
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101243778
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License Number State | VA
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