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General NPI Number Information
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NPI Number | 1295849578
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Entity Type | Organization
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Legal Business Name | BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 2301 S LAMAR BLVD SUITE 140
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City | OXFORD
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State | MS
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Zip | 38655-5373
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Country | US
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Telephone | 662-513-3246
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Fax | 662-513-6248
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Provider Business Mailing Address
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Address Line | 350 N HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2177
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Country | US
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Telephone | 901-227-7463
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Fax | 901-227-5699
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Authorized Official
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Title or Position | CFO SENIOR VICE PRESIDENT
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Name | DONALD R POUNDS
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Credential |
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Telephone | 901-227-7463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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