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General NPI Number Information
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NPI Number | 1871032201
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Entity Type | Organization
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Legal Business Name | HEART & VASCULAR DIAGNOSTIC CLINIC PA
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 710 GASLIGHT BLVD SUITE A
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City | LUFKIN
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State | TX
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Zip | 75904-3153
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Country | US
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Telephone | 936-639-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 710 GASLIGHT BLVD SUITE A
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City | LUFKIN
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State | TX
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Zip | 75904-3153
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Country | US
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Telephone | 936-639-0988
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN LEIGH FELD
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Credential | M.D.
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Telephone | 936-674-6352
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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 | H9325
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License Number State | TX
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