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General NPI Number Information
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NPI Number | 1023477395
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Entity Type | Organization
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Legal Business Name | TRUTH WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 05/01/2016
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Provider Practice Location Address
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Address Line | 252 KATHERINE DR SUITE A
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City | FLOWOOD
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State | MS
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Zip | 39232-9024
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Country | US
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Telephone | 601-882-5801
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Fax | 601-882-5794
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Provider Business Mailing Address
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Address Line | 252 KATHERINE DR SUITE A
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City | FLOWOOD
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State | MS
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Zip | 39232-9024
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Country | US
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Telephone | 601-882-5801
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Fax | 601-882-5794
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | MS. KIMBERLY ELIZABETH STRONG
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Credential | FNP-BC
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Telephone | 601-882-5801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R881742
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License Number State | MS
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