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General NPI Number Information
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NPI Number | 1346462751
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Entity Type | Organization
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Legal Business Name | DRS LENOIR AND CIRILLI PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 1307 EAST UNION
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City | GREENVILLE
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State | MS
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Zip | 38703
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Country | US
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Telephone | 662-335-3541
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5967 1307 EAST UNION
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City | GREENVILLE
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State | MS
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Zip | 38704-5967
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Country | US
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Telephone | 662-335-3541
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Fax | 662-332-0331
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Authorized Official
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Title or Position | SEC TRES DRS LENOIR AND CIRILLI PA
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Name | DR. MICHAEL JOSEPH CIRILLI
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Credential |
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Telephone | 662-335-3541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10254
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10254
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 3813
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License Number State | MS
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