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General NPI Number Information
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NPI Number | 1922275361
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS HEART CENTER PA
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 4510 MEDICAL CENTER DR STE 303
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 214-726-9292
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Fax | 972-542-7343
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Provider Business Mailing Address
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Address Line | 4510 MEDICAL CENTER DR STE 303
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 214-726-9292
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Fax | 972-542-7343
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Authorized Official
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Title or Position | CEO
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Name | MRS. STACIE PRASIFKA
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Credential |
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Telephone | 214-361-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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