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General NPI Number Information
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NPI Number | 1205900958
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL, LLC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 625 S PEAR ORCHARD RD STE A
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City | RIDGELAND
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State | MS
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Zip | 39157-4836
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Country | US
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Telephone | 769-233-8484
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Fax |
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Provider Business Mailing Address
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Address Line | 625 S PEAR ORCHARD RD STE A
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City | RIDGELAND
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State | MS
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Zip | 39157-4811
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Country | US
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Telephone | 769-233-8484
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Fax | 769-233-8051
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL PHARMACY
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Name | CHRISTY NEELY
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Credential | PHARMD
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Telephone | 769-233-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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