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General NPI Number Information
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NPI Number | 1154916872
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Entity Type | Organization
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Legal Business Name | MEDPLUS NEW ALBANY LLC
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 180 PARK PLAZA DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3127
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Country | US
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Telephone | 662-222-2219
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Fax | 662-510-0216
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Provider Business Mailing Address
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Address Line | 874 BARNES CROSSING RD
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City | TUPELO
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State | MS
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Zip | 38804-0909
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Country | US
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Telephone | 662-841-0002
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Fax | 662-269-6346
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. SAMANTHA LOGAN
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Credential |
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Telephone | 662-222-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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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