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General NPI Number Information
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NPI Number | 1306114319
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Entity Type | Organization
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Legal Business Name | SOUTHWEST MISSISSIPPI PLANNING AND DEVELOPMENT DISTRICT
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 2265 HIGHWAY 84 E
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City | MEADVILLE
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State | MS
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Zip | 39653-8447
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Country | US
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Telephone | 601-384-5200
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Fax | 601-384-5315
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Provider Business Mailing Address
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Address Line | 100 S WALL ST
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City | NATCHEZ
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State | MS
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Zip | 39120-3477
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Country | US
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Telephone | 601-446-6044
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Fax | 601-446-6071
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WIRT L PETERSON
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Credential |
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Telephone | 601-446-6044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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