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General NPI Number Information
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NPI Number | 1770588824
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Entity Type | Organization
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Legal Business Name | PIEDMONT CARDIAC DISEASE SPECIALISTS, PC
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 275 COLLIER RD NW STE 300
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City | ATLANTA
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State | GA
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Zip | 30309-1704
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Country | US
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Telephone | 404-355-9815
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Fax | 404-350-0529
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Provider Business Mailing Address
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Address Line | 275 COLLIER RD NW STE 300
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City | ATLANTA
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State | GA
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Zip | 30309-1704
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Country | US
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Telephone | 404-355-9815
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Fax | 404-350-0529
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARYLEIGH HEFFNER
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Credential |
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Telephone | 404-355-9815
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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