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General NPI Number Information
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NPI Number | 1801018593
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Entity Type | Organization
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Legal Business Name | ADVANCED HEART CARE, INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 180 OTAY LAKES RD STE 110
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City | BONITA
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State | CA
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Zip | 91902-2444
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Country | US
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Telephone | 619-585-0476
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1734
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City | POWAY
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State | CA
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Zip | 92074-1734
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Country | US
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Telephone |
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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. VIMAL I NANAVATI
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Credential | M.D.
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Telephone | 619-585-0476
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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 | G83522
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License Number State | CA
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