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NPI 1982629614

NPI 1982629614 : T C CARDIOLOGY, PC : FLUSHING, NY

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General NPI Number Information
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    NPI Number           |    1982629614
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    Entity Type          |    Organization 
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    Legal Business Name  |    T C CARDIOLOGY, PC 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    3907 PRINCE ST SUITE 3A
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11354-5399
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    Country              |    US
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    Telephone            |    718-661-1783
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    Fax                  |    718-661-1772
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Provider Business Mailing Address
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    Address Line         |    3907 PRINCE ST SUITE 3A
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    City                 |    FLUSHING
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    State                |    NY
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    Zip                  |    11354-5399
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    Country              |    US
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    Telephone            |    718-661-1783
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    Fax                  |    718-661-1772
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. THOMAS T CHEN 
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    Credential           |    MD
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    Telephone            |    718-661-1783
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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       |    185166
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    License Number State |    NY
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