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General NPI Number Information
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NPI Number | 1548697410
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Entity Type | Organization
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Legal Business Name | ORCHARD CARDIOLOGY PC LLC
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Dates
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Enumeration Date | 10/08/2013
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 199 MAIN ST SUITE 2B
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City | KEANSBURG
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State | NJ
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Zip | 07734-1734
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Country | US
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Telephone | 732-495-1155
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Fax | 732-333-8136
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Provider Business Mailing Address
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Address Line | 199 MAIN ST
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City | KEANSBURG
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State | NJ
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Zip | 07734-1734
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Country | US
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Telephone | 917-678-2191
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. FRANK V TAMBURRINO
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Credential | M.D.
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Telephone | 917-678-2191
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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 | 25MA09181500
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License Number State | NJ
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