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General NPI Number Information
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NPI Number | 1992743843
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Entity Type | Organization
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Legal Business Name | CARDIAC CLINIC PC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 13660 N 94TH DR STE C4
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City | PEORIA
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State | AZ
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Zip | 85381-4841
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Country | US
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Telephone | 602-615-5258
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Fax | 602-978-2797
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Provider Business Mailing Address
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Address Line | 13660 N 94TH DR STE C4
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City | PEORIA
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State | AZ
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Zip | 85381-4841
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Country | US
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Telephone | 602-978-0154
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Fax | 602-978-2797
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAJ SAVAJIYANI
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Credential | MD
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Telephone | 602-978-0154
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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 | 11928
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License Number State | AZ
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