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General NPI Number Information
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NPI Number | 1114383874
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Entity Type | Organization
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Legal Business Name | NESHOBA PHYSICIANS BILLING SERVICE
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 1001 HOLLAND AVE
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2161
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Country | US
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Telephone | 601-663-1269
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Fax | 601-663-1286
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Provider Business Mailing Address
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Address Line | 1001 HOLLAND AVE PO BOX 976
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2161
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Country | US
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Telephone | 601-663-1269
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Fax | 601-663-1286
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Authorized Official
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Title or Position | CFO
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Name | SCOTT HESTER MCNAIR
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Credential |
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Telephone | 601-663-1233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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