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General NPI Number Information
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NPI Number | 1821566787
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Entity Type | Organization
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Legal Business Name | HEALTHY HEART CARDIOLOGY INC.
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 02/23/2019
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Provider Practice Location Address
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Address Line | 23961 CALLE DE LA MAGDALENA STE 517
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-7628
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Country | US
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Telephone | 800-478-1322
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Fax |
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Provider Business Mailing Address
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Address Line | 4790 IRVINE BLVD # 105-141
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City | IRVINE
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State | CA
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Zip | 92620-1973
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Country | US
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Telephone | 877-924-9009
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOHN D. BAKER
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Credential | MD
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Telephone | 877-924-9009
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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 |
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License Number State |
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