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General NPI Number Information
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NPI Number | 1134435498
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Entity Type | Organization
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Legal Business Name | COVINGTON COUNTY HOSPITAL
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 104 W MAIN ST
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City | SEMINARY
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State | MS
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Zip | 39479-9027
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Country | US
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Telephone | 601-722-3610
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Fax | 601-722-9985
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Provider Business Mailing Address
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Address Line | PO BOX 2499
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City | COLLINS
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State | MS
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Zip | 39428-2499
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Country | US
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Telephone | 601-722-3610
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Fax | 601-722-9985
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Authorized Official
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Title or Position | CREDENTIALS
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Name | ANISSA L EVANS
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Credential |
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Telephone | 601-698-0328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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