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General NPI Number Information
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NPI Number | 1861666711
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Entity Type | Organization
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Legal Business Name | CARDIOLOGY ASSOCIATES OF MOBILE INC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 6701 AIRPORT BLVD SUITE D-330
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City | MOBILE
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State | AL
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Zip | 36608-6705
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Country | US
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Telephone | 251-607-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 AIRPORT BLVD SUITE D-330
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City | MOBILE
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State | AL
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Zip | 36608-6705
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Country | US
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Telephone | 251-607-9797
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CHAIRMAN OF BOARD
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Name | DR. GERRY M PHILLIPS
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Credential | M.D.
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Telephone | 251-607-9797
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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 |
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License Number State | AL
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