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General NPI Number Information
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NPI Number | 1265563779
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Entity Type | Organization
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Legal Business Name | CENTRAL MS. PLANNING & DEV. DISTRICT, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1170 LAKELAND DR
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City | JACKSON
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State | MS
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Zip | 39216-4701
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Country | US
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Telephone | 601-981-1511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4935
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City | JACKSON
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State | MS
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Zip | 39296-4935
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Country | US
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Telephone | 601-981-1511
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. F. CLARKE HOLMES III
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Credential |
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Telephone | 601-981-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0770316
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License Number State | MS
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