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General NPI Number Information
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NPI Number | 1942511712
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Entity Type | Organization
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Legal Business Name | HEART CARE PL
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 1091 PORT MALABAR BLVD NE SUITE
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City | PALM BAY
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State | FL
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Zip | 32905-5100
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Country | US
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Telephone | 321-794-7466
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Fax |
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Provider Business Mailing Address
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Address Line | 7777 N WICKJHAM RD S
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City | MELBOURNE
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State | FL
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Zip | 32940
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Country | US
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Telephone | 321-794-7466
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD IRFAN ASLAM
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Credential | MD
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Telephone | 321-794-7466
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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 | ME101181
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License Number State | FL
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