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General NPI Number Information
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NPI Number | 1932625779
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Entity Type | Organization
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Legal Business Name | ARIZONA HEART 360, P.C.
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 20045 N 19TH AVE STE 165
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City | PHOENIX
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State | AZ
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Zip | 85027-4254
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Country | US
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Telephone | 623-404-3115
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Fax | 623-215-7670
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Provider Business Mailing Address
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Address Line | 13208 N 13TH PL
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City | PHOENIX
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State | AZ
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Zip | 85022-4932
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Country | US
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Telephone | 818-434-1956
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Fax |
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | DR. SARIKA DESAI
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Credential | DO
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Telephone | 818-434-1956
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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 | 0005794
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License Number State | AZ
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