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General NPI Number Information
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NPI Number | 1134282387
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Entity Type | Individual
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Provider Name | DR. PAULA STEWART STRANGE
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 505 SPRINGRIDGE RD SUITE C
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City | CLINTON
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State | MS
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Zip | 39056-5612
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Country | US
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Telephone | 601-924-2446
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Fax | 601-924-6030
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Provider Business Mailing Address
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Address Line | 4500 I 55 N SUITE 235
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City | JACKSON
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State | MS
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Zip | 39211-5930
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Country | US
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Telephone | 601-987-8722
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Fax | 601-987-8724
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 288895
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License Number State | MS
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