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General NPI Number Information
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NPI Number | 1609893502
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Entity Type | Individual
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Provider Name | ARUN K. KOLLI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 6750 E BAYWOOD AVE # 301
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City | MESA
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State | AZ
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Zip | 85206-1749
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Country | US
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Telephone | 480-835-6100
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Fax | 480-505-5287
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Provider Business Mailing Address
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Address Line | 6402 E SUPERSTITION SPRINGS BLVD STE 224
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City | MESA
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State | AZ
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Zip | 85206-4394
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Country | US
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Telephone | 480-835-6100
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Fax | 480-505-5287
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 36429
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License Number State | AZ
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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 | 36429
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License Number State | AZ
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