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General NPI Number Information
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NPI Number | 1346238359
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Entity Type | Individual
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Provider Name | CARLA MITCHELL ARMSTRONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 155 HOSPITAL DR
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City | TYLERTOWN
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State | MS
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Zip | 39667-2021
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Country | US
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Telephone | 601-876-5337
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Fax | 601-876-5190
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Provider Business Mailing Address
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Address Line | 155 HOSPITAL DR P O BOX 424
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City | TYLERTOWN
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State | MS
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Zip | 39667-2021
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Country | US
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Telephone | 601-876-5337
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Fax | 601-876-5190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 14419
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License Number State | MS
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