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General NPI Number Information
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NPI Number | 1265150312
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Entity Type | Organization
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Legal Business Name | NORTH MISSISSIPPI MEDICAL CLINICS, INC.
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1207 HIGHWAY 182 W STE E
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City | STARKVILLE
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State | MS
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Zip | 39759-9013
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Country | US
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Telephone | 662-465-2126
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Fax | 662-465-2127
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Provider Business Mailing Address
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Address Line | 808 VARSITY DR
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City | TUPELO
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State | MS
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Zip | 38801-4613
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Country | US
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Telephone | 662-377-2774
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Fax | 662-377-2057
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | BRUCE TOPPIN
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Credential |
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Telephone | 662-377-4229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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