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General NPI Number Information
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NPI Number | 1871907022
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Entity Type | Individual
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Provider Name | ANDIN H MULLIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 6701 AIRPORT BLVD STE D330
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City | MOBILE
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State | AL
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Zip | 36608-6758
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Country | US
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Telephone | 251-607-9797
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Fax | 251-607-7696
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Provider Business Mailing Address
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Address Line | 169 ASHLEY AVE ROOM 202 MAIN HOSPITAL, MSC333
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City | CHARLESTON
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State | SC
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Zip | 29425
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Country | US
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Telephone | 843-792-2300
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 50431
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License Number State | KY
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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 | 43829
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 84332
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 43829
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License Number State | AL
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