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General NPI Number Information
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NPI Number | 1134942345
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Entity Type | Organization
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Legal Business Name | URGENT SPECIALTY ASSOCIATES OF MISSISSIPPI PLLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 499 GLOSTER CREEK VLG STE 4
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City | TUPELO
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State | MS
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Zip | 38801-4600
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Country | US
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Telephone | 662-377-6470
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Fax | 662-377-6330
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Provider Business Mailing Address
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Address Line | PO BOX 679276
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City | DALLAS
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State | TX
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Zip | 75267-9276
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Country | US
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Telephone | 855-495-1400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN D JOSEPHS
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Credential | MD
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Telephone | 469-609-9908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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