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General NPI Number Information
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NPI Number | 1255564712
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Entity Type | Organization
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Legal Business Name | FAMILY HEART CENTER
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 6019 WALNUT GROVE RD
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City | MEMPHIS
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State | TN
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Zip | 38120-2113
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Country | US
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Telephone | 901-226-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 9443 OLD PLANTATION CV
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City | GERMANTOWN
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State | TN
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Zip | 38139-6802
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Country | US
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Telephone | 901-377-8727
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD M EVANS
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Credential | MD
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Telephone | 901-377-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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