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General NPI Number Information
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NPI Number | 1891945275
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Entity Type | Organization
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Legal Business Name | YUMA HEART INSTITUTE, LLC
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 1773 WEST 24TH STREET SUITE B
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-344-8748
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Fax | 928-341-8750
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Provider Business Mailing Address
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Address Line | 1773 WEST 24TH STREET SUITE B
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-344-8748
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Fax | 928-341-8750
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Authorized Official
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Title or Position | DELEGATED OFFICIAL
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Name | DR. TONY T P CHEE
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Credential | MD
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Telephone | 928-344-8748
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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 | 11124
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License Number State | AZ
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