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General NPI Number Information
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NPI Number | 1417934415
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY ASSOCIATES, PSC
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 900 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-3422
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Country | US
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Telephone | 859-331-0774
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Fax | 859-578-1937
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Provider Business Mailing Address
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Address Line | 900 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-3422
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Country | US
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Telephone | 859-331-0774
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Fax | 859-578-1937
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Authorized Official
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Title or Position | CEO
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Name | DR. SANJAY J PATIL
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Credential | M.D.
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Telephone | 859-331-0774
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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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