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General NPI Number Information
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NPI Number | 1073269148
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI CENTER FOR FAMILIES
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Dates
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Enumeration Date | 02/26/2022
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 325 ALLSTATE DR
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City | JACKSON
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State | MS
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Zip | 39211-3502
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Country | US
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Telephone | 769-233-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 325 ALLSTATE DR
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City | JACKSON
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State | MS
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Zip | 39211-3502
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Country | US
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Telephone | 769-233-7561
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | LANCE DIXON
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Credential |
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Telephone | 773-724-8023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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