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General NPI Number Information
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NPI Number | 1952155996
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Entity Type | Organization
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Legal Business Name | PINNACLE HEART AND VASCULAR INC
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/20/2024
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Provider Practice Location Address
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Address Line | 611 S CARLIN SPRINGS RD STE 402
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City | ARLINGTON
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State | VA
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Zip | 22204-1087
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Country | US
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Telephone | 703-512-3000
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Fax | 703-512-3000
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Provider Business Mailing Address
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Address Line | 611 S CARLIN SPRINGS RD STE 402
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City | ARLINGTON
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State | VA
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Zip | 22204-1087
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TSEDAY E. SIRAK
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Credential | MD
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Telephone | 703-740-6297
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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 |
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License Number State |
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