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General NPI Number Information
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NPI Number | 1508211277
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Entity Type | Organization
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Legal Business Name | CAPITAL PEDIATRIC CARDIOLOGY ASSOCIATES INC
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 2929 K ST SUITE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-5122
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Country | US
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Telephone | 916-750-2328
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Fax | 916-710-8113
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Provider Business Mailing Address
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Address Line | 2929 K ST SUITE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-5122
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Country | US
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Telephone | 916-750-2328
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Fax | 916-710-8113
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. NAVEEN S MANOHAR
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Credential | M.D.
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Telephone | 916-750-2328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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