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General NPI Number Information
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NPI Number | 1275081754
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Entity Type | Organization
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Legal Business Name | NORTH MISSISSIPPI ELECTROPHYSIOLOGY, LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 499 GLOSTER CREEK VILLAGE SUITE A-2
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City | TUPELO
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State | MS
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Zip | 38801-4749
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Country | US
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Telephone | 662-620-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 808 VARSITY DR
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City | TUPELO
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State | MS
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Zip | 38801-4613
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Country | US
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Telephone | 662-377-3204
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Fax | 662-377-2057
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | MR. BRUCE TOPPIN
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Credential |
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Telephone | 662-377-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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