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General NPI Number Information
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NPI Number | 1336315365
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 8348 HIGHWAY 21
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City | SHUQUALAK
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State | MS
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Zip | 39361-7903
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Country | US
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Telephone | 662-361-8671
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Fax | 601-677-4276
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Provider Business Mailing Address
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Address Line | 8348 HIGHWAY 21
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City | SHUQUALAK
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State | MS
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Zip | 39361-7903
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Country | US
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Telephone | 662-361-8671
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Fax | 601-677-4276
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Authorized Official
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Title or Position | CEO
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Name | ANGIE M COLEMAN
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Credential | LCSW
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Telephone | 662-361-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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