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General NPI Number Information
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NPI Number | 1902516461
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Entity Type | Organization
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Legal Business Name | SINUS NODE SOLUTIONS
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Dates
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Enumeration Date | 11/24/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 8515 S US HIGHWAY 1 STE 3
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-3346
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Country | US
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Telephone | 347-640-3254
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 S FEDERAL HWY # 1049
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City | FORT PIERCE
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State | FL
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Zip | 34982-5923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FAHAD ALI
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Credential | MD
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Telephone | 570-867-3025
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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 |
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License Number State |
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