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General NPI Number Information
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NPI Number | 1659266559
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Entity Type | Organization
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Legal Business Name | EASYLINK MD LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3505 S MERCY RD
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City | GILBERT
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State | AZ
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Zip | 85297-0427
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Country | US
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Telephone | 888-778-8545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20490
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City | MESA
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State | AZ
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Zip | 85277-0490
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Country | US
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Telephone | 888-778-8545
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | SHAROLYN MCCLURG
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Credential | CNP
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Telephone | 888-778-8545
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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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