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General NPI Number Information
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NPI Number | 1235250283
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Entity Type | Organization
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Legal Business Name | DR. D. SALONE MCKINNEY AND ASSOCIATES
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5341 HIGHWAY 25
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City | BRANDON
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State | MS
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Zip | 39047-7673
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Country | US
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Telephone | 601-316-6637
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Fax |
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Provider Business Mailing Address
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Address Line | 5211 GARDENIA ST
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City | JACKSON
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State | MS
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Zip | 39209-4626
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Country | US
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Telephone | 601-316-6636
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DELLIA SALONE MCKINNEY
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Credential | O.D.
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Telephone | 601-316-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 677-94032
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License Number State | MS
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