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General NPI Number Information
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NPI Number | 1790937910
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Entity Type | Organization
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Legal Business Name | THE CARDIOLOGY GROUP, PLLC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 225 COMMUNITY DR SUITE 130
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City | GREAT NECK
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State | NY
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Zip | 11021-5506
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Country | US
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Telephone | 516-504-0474
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Fax | 516-504-0477
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Provider Business Mailing Address
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Address Line | 225 COMMUNITY DR SUITE 130
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City | GREAT NECK
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State | NY
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Zip | 11021-5506
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Country | US
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Telephone | 516-504-0474
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Fax | 516-504-0477
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT J DRESDALE
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Credential | MD
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Telephone | 516-504-0474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 150518
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 227230
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 108705
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 116929
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License Number State | NY
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