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General NPI Number Information
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NPI Number | 1003871344
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Entity Type | Organization
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Legal Business Name | NORTH MISSISSIPPI MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 424 EAST PRESIDENT STREET
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City | TUPELO
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State | MS
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Zip | 38801-5500
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Country | US
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Telephone | 662-377-2138
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Fax | 662-377-7983
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Provider Business Mailing Address
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Address Line | 830 S GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38801-4934
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Country | US
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Telephone | 662-377-2138
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Fax | 662-377-7983
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Authorized Official
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Title or Position | CFO
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Name | MR. JOSEPH A REPPERT
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Credential |
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Telephone | 662-377-3978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 8481
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License Number State | MS
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