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General NPI Number Information
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NPI Number | 1972906766
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Entity Type | Organization
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Legal Business Name | BELLEVUE HEART GROUP LLC
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 08/26/2023
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Provider Practice Location Address
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Address Line | 1508 PENNSYLVANIA AVE STE 2A
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City | WILMINGTON
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State | DE
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Zip | 19806-4339
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Country | US
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Telephone | 302-468-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 PENNSYLVANIA AVE STE 2A
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City | WILMINGTON
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State | DE
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Zip | 19806-4339
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Country | US
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Telephone | 302-468-4500
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. HAMID DELIRI
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Credential | MD
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Telephone | 443-280-3569
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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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