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General NPI Number Information
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NPI Number | 1699904029
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Entity Type | Organization
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Legal Business Name | HEART CARE SPECIALISTS AT CAPITAL HEALTH
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 625 FARNSWORTH AVE SUITE 109
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1321
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Country | US
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Telephone | 609-393-1524
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Fax | 609-393-1525
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Provider Business Mailing Address
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Address Line | PO BOX 8500-1097
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City | PHILADELPHIA
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State | PA
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Zip | 19178-0001
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Country | US
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Telephone | 609-815-7810
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Fax |
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Authorized Official
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Title or Position | VP AMBULATORY SERVICES DIVISION
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Name | NATHAN BOSK
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Credential |
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Telephone | 609-278-5438
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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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