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General NPI Number Information
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NPI Number | 1932253739
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Entity Type | Organization
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Legal Business Name | RSC CARDIOLOGY SERVICES, PLLC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 1000 NORTHERN BLVD SUITE 120
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City | GREAT NECK
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State | NY
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Zip | 11021-5312
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Country | US
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Telephone | 516-466-8900
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Fax | 516-482-1808
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Provider Business Mailing Address
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Address Line | 1000 NORTHERN BLVD SUITE 120
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City | GREAT NECK
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State | NY
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Zip | 11021-5312
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Country | US
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Telephone | 516-466-8900
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Fax | 516-482-1808
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Authorized Official
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Title or Position | MANAGER
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Name | ANNA CAPUTO
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Credential |
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Telephone | 516-466-8900
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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 | 127517
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License Number State | NY
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