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General NPI Number Information
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NPI Number | 1215247937
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Entity Type | Organization
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Legal Business Name | VML MEDICAL SERVICES OF BOONEVILLE INC
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Dates
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Enumeration Date | 10/15/2010
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 121 SOUTH SECOND STREET
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City | BALDWYN
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State | MS
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Zip | 38824
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Country | US
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Telephone | 662-365-2725
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Fax | 662-365-2737
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Provider Business Mailing Address
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Address Line | 121 SOUTH SECOND STREET
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City | BALDWYN
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State | MS
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Zip | 38824
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Country | US
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Telephone | 662-365-2725
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Fax | 662-365-2737
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Authorized Official
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Title or Position | OWNER
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Name | MS. VICKI MICHELLE LAMBERT
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Credential | DNP, CFNP
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Telephone | 662-365-2725
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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 | R574996
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | R863085
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License Number State | MS
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