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General NPI Number Information
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NPI Number | 1740355627
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Entity Type | Organization
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Legal Business Name | THE HEART SPECIALISTS GROUP, LLC
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Dates
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Enumeration Date | 11/23/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 6316 W UNION HILLS DR STE 210
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City | GLENDALE
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State | AZ
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Zip | 85308-1001
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Country | US
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Telephone | 480-765-2800
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Fax | 480-765-2799
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Provider Business Mailing Address
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Address Line | 1430 ROBIN LN
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City | SCOTCH PLAINS
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State | NJ
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Zip | 07076-2425
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Country | US
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Telephone | 908-601-5826
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MADHU SALVAJI
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Credential | DO
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Telephone | 908-601-5826
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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 | MB072684
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License Number State | NJ
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