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General NPI Number Information
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NPI Number | 1518978626
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY PARTNERS PL
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 3347 STATE ROAD 7 STE 203
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City | WELLINGTON
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State | FL
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Zip | 33449-8095
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Country | US
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Telephone | 561-793-6100
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Fax | 561-793-1974
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Provider Business Mailing Address
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Address Line | 3345 BURNS RD STE 105
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4304
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Country | US
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Telephone | 561-626-1881
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHANDRA VENUGOPAL
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Credential | MD
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Telephone | 561-793-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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