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General NPI Number Information
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NPI Number | 1245203165
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Entity Type | Individual
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Provider Name | HARSHAN I WEERACKODY MD FACC
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Gender | Male
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 939 LITTLE BRITAIN RD
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City | NEW WINDSOR
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State | NY
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Zip | 12553
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Country | US
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Telephone | 845-567-1800
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Fax | 845-567-9069
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Provider Business Mailing Address
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Address Line | 1 COLUMBIA ST SUITE 200
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3923
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Country | US
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Telephone | 845-473-1188
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Fax | 845-473-0896
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 207732
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License Number State | NY
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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 | 207732
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License Number State | NY
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