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General NPI Number Information
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NPI Number | 1013323765
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Entity Type | Organization
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Legal Business Name | ALLURE PLASTICS, P.A.
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/03/2014
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Provider Practice Location Address
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Address Line | 1000 HIGHLAND COLONY PKWY SUITE 27202
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City | RIDGELAND
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State | MS
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Zip | 39157-2073
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Country | US
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Telephone | 769-300-2946
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Fax | 769-300-2953
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Provider Business Mailing Address
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Address Line | 1000 HIGHLAND COLONY PKWY SUITE 27202
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City | RIDGELAND
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State | MS
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Zip | 39157-2073
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Country | US
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Telephone | 769-300-2946
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Fax | 769-300-2953
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM BRYANT WALKER
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Credential | M.D.
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Telephone | 601-874-2636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 21164
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License Number State | MS
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