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General NPI Number Information
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NPI Number | 1720147903
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY ASSOCIATES OF DELAWARE LLC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2101 FOULK RD
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City | WILMINGTON
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State | DE
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Zip | 19810-4710
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Country | US
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Telephone | 302-475-9626
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Fax | 302-475-9627
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Provider Business Mailing Address
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Address Line | 2101 FOULK RD
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City | WILMINGTON
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State | DE
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Zip | 19810-4710
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Country | US
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Telephone | 302-475-9626
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Fax | 302-475-9627
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Authorized Official
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Title or Position | ACCESS MANAGER
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Name | JENNIFER DESANCTIS
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Credential |
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Telephone | 302-475-2535
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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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