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General NPI Number Information
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NPI Number | 1821415357
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Entity Type | Organization
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Legal Business Name | MICHAEL PAYMENT MD CARDIOLOGY PA
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 4533 13TH ST
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City | GULFPORT
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State | MS
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Zip | 39501-2516
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Country | US
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Telephone | 228-223-7657
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Fax | 228-452-7657
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Provider Business Mailing Address
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Address Line | 4533 13TH ST
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City | GULFPORT
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State | MS
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Zip | 39501-2516
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Country | US
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Telephone | 228-223-7657
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Fax | 228-452-7657
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL FRANCIS PAYMENT
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Credential | M.D.
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Telephone | 228-223-7657
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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 | 10314
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License Number State | MS
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