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General NPI Number Information
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NPI Number | 1093083115
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Entity Type | Individual
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Provider Name | MELINDA KAY JONES RPH
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Gender | Female
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Dates
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Enumeration Date | 12/03/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 509 HIGHWAY 589
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City | PURVIS
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State | MS
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Zip | 39475-4114
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Country | US
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Telephone | 601-794-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 433 CEDAR ST
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City | PETAL
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State | MS
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Zip | 39465-4436
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Country | US
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Telephone | 601-447-6567
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-08763
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License Number State | MS
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