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General NPI Number Information
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NPI Number | 1972701985
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Entity Type | Organization
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Legal Business Name | HIGH QUALITY CARDIOVASCULAR DIAGNOSTICS OF BROOKLYN, PC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 9520 SEAVIEW AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-5466
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Country | US
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Telephone | 718-241-4474
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Fax |
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Provider Business Mailing Address
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Address Line | 9520 SEAVIEW AVE
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City | BROOKLYN
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State | NY
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Zip | 11236-5466
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Country | US
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Telephone | 718-241-4474
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KHALID KAMAL HASSAN
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Credential | M.D.
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Telephone | 718-241-4474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 148235
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License Number State | NY
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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 | 148235
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License Number State | NY
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