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General NPI Number Information
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NPI Number | 1922140854
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY CARE OF THE HEART PATIENT INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 630 SOUTH RAYMOND AVE. SUITE 204
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City | PASADENA
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State | CA
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Zip | 91105-3283
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Country | US
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Telephone | 626-340-4888
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Fax | 626-389-0217
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Provider Business Mailing Address
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Address Line | 630 SOUTH RAYMOND AVE. SUITE 204
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City | PASADENA
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State | CA
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Zip | 91105-3283
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Country | US
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Telephone | 626-340-4888
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Fax | 626-389-0217
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. MILTON P. SMITH
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Credential | M. D.
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Telephone | 626-340-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G28352
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License Number State | CA
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