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General NPI Number Information
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NPI Number | 1447357710
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Entity Type | Organization
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Legal Business Name | THE HEART CENTER, P.L.L.C
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 4300 HOSPITAL ST SUITE 103
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City | PASCAGOULA
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State | MS
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Zip | 39581-5329
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Country | US
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Telephone | 228-762-7875
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Fax | 228-762-7876
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Provider Business Mailing Address
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Address Line | 4300 HOSPITAL ST SUITE 103
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City | PASCAGOULA
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State | MS
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Zip | 39581-5329
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Country | US
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Telephone | 228-762-7875
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Fax | 228-762-7876
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASWINDER SINGH KANDOLA
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Credential | M.D.
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Telephone | 228-762-7875
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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 |
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License Number State |
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