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General NPI Number Information
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NPI Number | 1255506705
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Entity Type | Organization
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Legal Business Name | REGION SEVEN MENTAL HEALTH INTELLECTUAL DISABILITIES COMM
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 120 COLLIER ROAD
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City | STARKVILLE
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State | MS
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Zip | 39759-8891
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Country | US
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Telephone | 662-323-8907
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Fax | 662-323-9841
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Provider Business Mailing Address
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Address Line | PO BOX 1336
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City | WEST POINT
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State | MS
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Zip | 39773-1336
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Country | US
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Telephone | 662-524-4347
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Fax | 662-524-4370
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Authorized Official
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Title or Position | BILLING/ACCTS REC SUPERVISOR
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Name | KATHY DOSS
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Credential |
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Telephone | 662-323-9318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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