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General NPI Number Information
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NPI Number | 1831137934
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Entity Type | Organization
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Legal Business Name | HEARTCARE CLINIC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9600 LILE DR SUITE 330
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6326
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Country | US
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Telephone | 501-221-7272
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Fax | 501-221-1491
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Provider Business Mailing Address
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Address Line | 9600 LILE DR SUITE 330
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6326
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Country | US
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Telephone | 501-221-7272
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Fax | 501-221-1491
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Authorized Official
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Title or Position | ATTENDING PHYSICIAN
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Name | DR. AYMAN ALSHAMI
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Credential | M.D.
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Telephone | 501-221-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E-1795
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License Number State | AR
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