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General NPI Number Information
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NPI Number | 1750481941
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Entity Type | Organization
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Legal Business Name | HEART RHYTHM CONSULTANTS PA
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 1921 WALDEMERE ST STE 301
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City | SARASOTA
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State | FL
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Zip | 34239-2943
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Country | US
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Telephone | 941-484-6758
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25354
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City | SARASOTA
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State | FL
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Zip | 34277-2354
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Country | US
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Telephone | 941-484-6758
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DILIP JOB MATHEW
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Credential | MD
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Telephone | 727-741-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | ME89648
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License Number State | FL
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