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General NPI Number Information
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NPI Number | 1518952332
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Entity Type | Organization
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Legal Business Name | CAPITAL CARDIOLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 7 SOUTHWOODS BLVD
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City | ALBANY
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State | NY
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Zip | 12211-2514
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Country | US
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Telephone | 518-292-6000
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Fax | 518-292-6050
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Provider Business Mailing Address
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Address Line | 7 SOUTHWOODS BLVD
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City | ALBANY
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State | NY
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Zip | 12211-2514
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Country | US
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Telephone | 518-292-6000
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Fax | 518-292-6050
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. AUGUSTIN J DELAGO
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Credential | MD
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Telephone | 518-292-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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