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General NPI Number Information
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NPI Number | 1083187256
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Entity Type | Individual
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Provider Name | WINDY VESS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 02/06/2022
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Provider Practice Location Address
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Address Line | 611 ALCORN DR
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City | CORINTH
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State | MS
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Zip | 38834-9321
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Country | US
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Telephone | 662-293-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 26 COUNTY ROAD 326
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City | IUKA
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State | MS
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Zip | 38852-7012
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 904185
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 889720
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License Number State | MS
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