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General NPI Number Information
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NPI Number | 1124998539
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Entity Type | Organization
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Legal Business Name | MAGNOLIA REGIONAL HEALTH CENTER
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 8 INDUSTRIAL PARK
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City | BURNSVILLE
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State | MS
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Zip | 38833-9357
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Country | US
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Telephone | 662-593-7130
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Fax | 662-593-7131
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Provider Business Mailing Address
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Address Line | 401 ALCORN DR STE 2C
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City | CORINTH
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State | MS
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Zip | 38834-9073
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Country | US
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Telephone | 662-293-1288
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Fax |
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Authorized Official
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Title or Position | FINANCIAL ANALYST
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Name | SHANNON PALMER
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Credential |
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Telephone | 662-293-1288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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