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General NPI Number Information
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NPI Number | 1265107510
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Entity Type | Individual
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Provider Name | MRS. PRESLEY FAY DEMPSEY
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 635 W WILLIE MORRIS PKWY
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City | YAZOO CITY
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State | MS
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Zip | 39194-7702
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Country | US
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Telephone | 662-746-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 106 CONCORD DR
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City | CLINTON
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State | MS
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Zip | 39056-5718
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Country | US
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Telephone | 601-949-0972
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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