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General NPI Number Information
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NPI Number | 1821389933
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Entity Type | Organization
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Legal Business Name | PHILADELPHIA HEART, P C
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 1332 W RITNER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3537
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Country | US
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Telephone | 267-319-1939
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Fax | 267-319-1483
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Provider Business Mailing Address
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Address Line | 1332 W RITNER ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-3537
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Country | US
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Telephone | 267-319-1939
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Fax | 267-319-1483
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASIF I HUSSAIN
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Credential | M.D.
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Telephone | 267-319-1939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0126360L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD067672L
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License Number State | PA
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