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General NPI Number Information
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NPI Number | 1801166459
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Entity Type | Organization
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Legal Business Name | CAROLINA HEART CENTER, PA
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 3406 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27609-7234
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Country | US
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Telephone | 919-881-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 3406 SIX FORKS RD
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City | RALEIGH
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State | NC
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Zip | 27609-7234
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Country | US
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Telephone | 919-881-7770
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PANKAJ N PARIKH
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Credential | M.D.
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Telephone | 919-881-7770
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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 | 9400607
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License Number State | NC
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