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General NPI Number Information
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NPI Number | 1861663643
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Entity Type | Organization
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Legal Business Name | EASY CARE MEDICAL CLINIC,PLLC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 2016 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-3727
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Country | US
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Telephone | 662-665-9073
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Fax | 662-665-9098
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Provider Business Mailing Address
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Address Line | 2016 E SHILOH RD
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City | CORINTH
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State | MS
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Zip | 38834-3727
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Country | US
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Telephone | 662-665-9073
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Fax | 662-665-9098
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. NEIL BURTON SLOAN
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Credential | M.D.
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Telephone | 662-665-9073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19029
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License Number State | MS
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