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General NPI Number Information
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NPI Number | 1912197104
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Entity Type | Organization
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Legal Business Name | AMERICAN HEART MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 1644 DEER PARK AVE SUITE LOWER LEVEL NORTH
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City | DEER PARK
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State | NY
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Zip | 11729-5211
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Country | US
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Telephone | 631-392-1290
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Fax | 631-392-1291
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Provider Business Mailing Address
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Address Line | 1644 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-5211
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Country | US
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Telephone | 631-392-1290
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Fax | 631-392-1291
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SINAN KADAYIFCI
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Credential | M.D.
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Telephone | 631-392-1290
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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 | 241033
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License Number State | NY
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