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General NPI Number Information
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NPI Number | 1083851026
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Entity Type | Individual
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Provider Name | CHARLA WURSTER KNAPP NP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 315 JOHN R JUNKIN DR
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City | NATCHEZ
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State | MS
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Zip | 39120-3823
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Country | US
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Telephone | 601-445-1715
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Fax | 601-445-6720
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Provider Business Mailing Address
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Address Line | PO BOX 321359
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City | FLOWOOD
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State | MS
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Zip | 39232-1359
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Country | US
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Telephone | 601-936-1395
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Fax | 601-933-6596
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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 | 785451
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License Number State | MS
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