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General NPI Number Information
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NPI Number | 1952452245
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Entity Type | Organization
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Legal Business Name | DR. UPA CARDIOLOGY, INC
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 2301 N UNIVERSITY DR SUITE 106
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3617
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Country | US
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Telephone | 954-986-1232
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Fax | 954-986-1833
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Provider Business Mailing Address
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Address Line | 2301 N UNIVERSITY DR SUITE 106
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3617
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Country | US
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Telephone | 954-986-1232
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Fax | 954-986-1833
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Authorized Official
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Title or Position | PRESIDENT
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Name | NARENDRA R UPADHYAYA
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Credential | MD
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Telephone | 954-986-1232
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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 | ME60989
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License Number State | FL
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