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General NPI Number Information
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NPI Number | 1982011326
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Entity Type | Organization
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Legal Business Name | GULF COAST HEART INSTITUTE
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 2915 SHORTCUT RD
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City | PASCAGOULA
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State | MS
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Zip | 39567-1809
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Country | US
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Telephone | 228-282-0588
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 SHORTCUT RD
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City | PASCAGOULA
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State | MS
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Zip | 39567-1809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SARAH ADLAKHA
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Credential | D.O.
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Telephone | 228-282-0588
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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 | 22059
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License Number State | MS
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