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General NPI Number Information
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NPI Number | 1104039650
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Entity Type | Organization
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Legal Business Name | CAPITAL HEART ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 5215 LOUGHBORO RD NW SUITE 460
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City | WASHINGTON
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State | DC
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Zip | 20016-2618
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Country | US
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Telephone | 202-686-9801
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Fax | 202-363-6464
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Provider Business Mailing Address
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Address Line | 5215 LOUGHBORO RD NW SUITE 460
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City | WASHINGTON
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State | DC
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Zip | 20016-2618
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Country | US
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Telephone | 202-686-9801
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Fax | 202-363-6464
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY J. DAVENPORT
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Credential | MD, PHD, FACC
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Telephone | 202-686-9801
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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 | MD18999
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License Number State | DC
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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 | MD25545
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA030947
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD18999
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License Number State | DC
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