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General NPI Number Information
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NPI Number | 1427439348
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Entity Type | Organization
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Legal Business Name | CORINTH CARDIOVASCULAR CARE, PLLC
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 2427 PROPER ST
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City | CORINTH
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State | MS
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Zip | 38834-5394
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Country | US
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Telephone | 662-665-0151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 728
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City | CORINTH
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State | MS
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Zip | 38835-0728
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. AARON CHRISTOPHER EARLES
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Credential | D.O.
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Telephone | 662-603-1007
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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 | 20961
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License Number State | MS
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