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General NPI Number Information
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NPI Number | 1568082840
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Entity Type | Organization
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Legal Business Name | HOT SPRINGS HEART AND VASCULAR CORP
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 06/02/2020
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Provider Practice Location Address
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Address Line | 110 CRACKER BOX LN
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City | HOT SPRINGS NATIONAL PARK
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State | AR
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Zip | 71913-5418
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Country | US
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Telephone | 501-767-4278
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Fax | 501-767-4328
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Provider Business Mailing Address
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Address Line | 312 LONG ISLAND DR
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City | HOT SPRINGS
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State | AR
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Zip | 71913-9636
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Country | US
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Telephone | 501-622-7691
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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. JEFFREY TAUTH
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Credential |
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Telephone | 501-622-7691
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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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