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General NPI Number Information
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NPI Number | 1922010644
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Entity Type | Organization
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Legal Business Name | CAPITAL REGION CARDIOLOGY ASSOCIATES, P.C.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 854 MADISON AVE
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City | ALBANY
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State | NY
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Zip | 12208-3712
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Country | US
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Telephone | 518-438-6236
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Fax | 518-438-6750
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Provider Business Mailing Address
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Address Line | 854 MADISON AVE
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City | ALBANY
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State | NY
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Zip | 12208-3712
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Country | US
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Telephone | 518-438-6236
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Fax | 518-438-6750
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IGAL ZURAVICKY
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Credential | M.D.
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Telephone | 518-438-6236
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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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