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General NPI Number Information
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NPI Number | 1518971480
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Entity Type | Organization
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Legal Business Name | SUBURBAN CARDIOLOGY,P.C.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 831 MAPLE RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-3260
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Country | US
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Telephone | 716-565-1978
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Fax | 716-565-1983
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Provider Business Mailing Address
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Address Line | 831 MAPLE RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-3260
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Country | US
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Telephone | 716-565-1978
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Fax | 716-565-1983
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. JUDY JOY-PARDI
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Credential | MD
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Telephone | 715-565-1978
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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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