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General NPI Number Information
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NPI Number | 1992515472
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Entity Type | Organization
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Legal Business Name | HEART MEDICAL LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2225 FARADAY AVE STE F
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City | CARLSBAD
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State | CA
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Zip | 92008-7212
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Country | US
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Telephone | 760-814-9323
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Fax | 760-814-9327
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Provider Business Mailing Address
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Address Line | 2225 FARADAY AVE STE F
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City | CARLSBAD
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State | CA
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Zip | 92008-7212
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Country | US
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Telephone | 760-814-9323
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Fax | 760-814-9327
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Authorized Official
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Title or Position | COO
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Name | MR. JAMES MATTHEW WIGGINS
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Credential |
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Telephone | 760-814-9323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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