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General NPI Number Information
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NPI Number | 1346506946
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Entity Type | Organization
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Legal Business Name | SUPERIOR NURSING AND SITTING SERVICES
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 937 W LAKE DOCKERY DR
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City | BYRAM
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State | MS
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Zip | 39272-9003
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Country | US
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Telephone | 601-566-0483
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Fax | 601-665-4536
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Provider Business Mailing Address
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Address Line | PO BOX 660
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City | RAYMOND
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State | MS
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Zip | 39154-0660
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Country | US
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Telephone | 601-566-0483
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Fax | 601-665-4536
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Authorized Official
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Title or Position | DIRECTOR
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Name | RITA MICHELLE MALLETT
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Credential |
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Telephone | 601-566-0483
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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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