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General NPI Number Information
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NPI Number | 1922264647
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Entity Type | Organization
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Legal Business Name | PAMPA HEART CLINIC
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 104 E 30TH AVE
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City | PAMPA
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State | TX
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Zip | 79065-2822
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Country | US
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Telephone | 806-665-0815
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Fax | 806-665-0817
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Provider Business Mailing Address
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Address Line | 104 E 30TH AVE
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City | PAMPA
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State | TX
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Zip | 79065-2822
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Country | US
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Telephone | 806-665-0815
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Fax | 806-665-0817
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAXMICHAND KAMNANI
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Credential | M.D.
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Telephone | 806-665-0815
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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 |
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License Number State |
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