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General NPI Number Information
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NPI Number | 1013410273
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Entity Type | Organization
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Legal Business Name | CHOSEN 2 CARE MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 2104 5TH ST N STE 6
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City | COLUMBUS
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State | MS
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Zip | 39705-2236
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Country | US
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Telephone | 205-542-9226
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 5TH ST N STE 6
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City | COLUMBUS
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State | MS
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Zip | 39705-2236
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Country | US
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Telephone | 205-542-9226
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY WARREN
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Credential | MLP-NP
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Telephone | 205-542-9226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | WARR-P4LBGN
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License Number State | MS
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