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General NPI Number Information
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NPI Number | 1376560078
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY ASSOCIATES OF TALLAHASSEE
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1626 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5316
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Country | US
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Telephone | 850-656-3653
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Fax | 850-878-0383
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Provider Business Mailing Address
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Address Line | 1626 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5316
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Country | US
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Telephone | 850-656-3653
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Fax | 850-878-0383
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Authorized Official
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Title or Position | PRESIDENT/M.D.
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Name | DR. JYOTSNA NARSINGH DALAL
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Credential | M.D.
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Telephone | 850-656-3653
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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 | ME0069092
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License Number State | FL
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