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General NPI Number Information
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NPI Number | 1891006151
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Entity Type | Organization
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Legal Business Name | LE HEART CENTER LLC
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 3700 WASHINGTON ST STE 400
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8289
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Country | US
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Telephone | 305-741-4278
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Fax | 970-585-7595
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Provider Business Mailing Address
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Address Line | PO BOX 402066
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City | MIAMI BEACH
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State | FL
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Zip | 33140-0066
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Country | US
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Telephone | 305-741-4278
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Fax | 206-666-4927
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LIOR URIEL ELKAYAM
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Credential | M.D.
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Telephone | 305-741-4278
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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 | ME103075
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License Number State | FL
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