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General NPI Number Information
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NPI Number | 1265683775
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Entity Type | Organization
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Legal Business Name | CLAY COUNTY MEDICAL
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 835 MEDICAL CENTER DR
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City | WEST POINT
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State | MS
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Zip | 39773-9320
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Country | US
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Telephone | 662-495-2300
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Fax | 662-495-2262
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Provider Business Mailing Address
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Address Line | 835 MEDICAL CENTER DR
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City | WEST POINT
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State | MS
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Zip | 39773-9320
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Country | US
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Telephone | 662-495-2300
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Fax | 662-495-2262
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Authorized Official
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Title or Position | CERTIFIED REGISTERED NURSE ANESTHET
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Name | MRS. STACEY SINCLAIR GEORGE
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Credential |
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Telephone | 662-324-2639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | R869946
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License Number State | MS
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