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General NPI Number Information
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NPI Number | 1831217587
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Entity Type | Organization
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Legal Business Name | HEALTHY HEARTS MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 901 SUNSET DR STE 4
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City | HOLLISTER
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State | CA
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Zip | 95023-5613
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Country | US
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Telephone | 831-630-9467
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Fax | 831-630-5752
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Provider Business Mailing Address
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Address Line | 901 SUNSET DR STE 4
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City | HOLLISTER
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State | CA
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Zip | 95023-5613
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Country | US
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Telephone | 831-630-9467
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Fax | 831-630-5752
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH LEE KLAPPER
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Credential | MD
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Telephone | 831-630-9467
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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 | G84033
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License Number State | CA
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