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General NPI Number Information
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NPI Number | 1992451421
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Entity Type | Organization
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Legal Business Name | MEDSTREAMLINE LLC
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 13600 S TRYON ST
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City | CHARLOTTE
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State | NC
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Zip | 28278-7623
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Country | US
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Telephone | 864-420-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 412 RIVER ST STE A
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City | GREENVILLE
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State | SC
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Zip | 29601-2613
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Country | US
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Telephone | 833-968-7675
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED HASSAN BEHERY
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Credential |
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Telephone | 833-968-7675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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