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General NPI Number Information
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NPI Number | 1144324328
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC CARDIOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 100 CLINTON STREET SUITE 20
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City | BROOKLYN
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State | NY
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Zip | 11201-4227
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Country | US
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Telephone | 718-625-8700
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Fax | 718-625-7563
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Provider Business Mailing Address
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Address Line | 100 CLINTON ST SUITE 20
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City | BROOKLYN
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State | NY
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Zip | 11201-4227
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Country | US
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Telephone | 718-625-8700
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Fax | 718-625-7563
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Authorized Official
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Title or Position | PARTNER
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Name | SUDARSANAM KONKA
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Credential | MD
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Telephone | 718-625-8700
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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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