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General NPI Number Information
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NPI Number | 1336823228
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Entity Type | Organization
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Legal Business Name | DELTA HEALTH CENTER, INC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 118 FRONT AVE
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City | INDIANOLA
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State | MS
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Zip | 38751-2461
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Country | US
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Telephone | 662-741-8810
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Fax | 662-741-8897
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Provider Business Mailing Address
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Address Line | PO BOX 900
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City | MOUND BAYOU
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State | MS
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Zip | 38762-0900
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Country | US
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Telephone | 662-741-8810
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Fax | 662-741-8897
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Authorized Official
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Title or Position | CFO
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Name | MRS. HAZEL D WHITING
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Credential |
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Telephone | 662-741-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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