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General NPI Number Information
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NPI Number | 1174726855
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY UNLIMITED PC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3131 GRAND CONCOURSE SUITE 1B
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City | BRONX
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State | NY
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Zip | 10468-1442
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Country | US
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Telephone | 718-295-7900
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Fax | 718-295-4160
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Provider Business Mailing Address
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Address Line | PO BOX 149
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City | HARTSDALE
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State | NY
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Zip | 10530
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Country | US
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Telephone | 718-562-6570
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Fax | 718-364-5313
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANA R GUZMAN
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Credential |
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Telephone | 718-562-6570
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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 | 161145
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License Number State | NY
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