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General NPI Number Information
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NPI Number | 1467545509
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Entity Type | Organization
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Legal Business Name | CITICARDIACCARE P.C.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8002 165TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1208
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Country | US
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Telephone | 718-380-7000
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Fax | 718-380-7313
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Provider Business Mailing Address
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Address Line | 8002 165TH ST
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City | JAMAICA
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State | NY
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Zip | 11432-1208
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Country | US
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Telephone | 718-380-7000
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Fax | 718-380-7313
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RADHA K VOLETI
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Credential | M.D.,
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Telephone | 718-380-7000
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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 | 216842
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License Number State | NY
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