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General NPI Number Information
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NPI Number | 1346552726
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Entity Type | Organization
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Legal Business Name | MCGEHEE FAMILY HEALTH CLINIC, P.A.
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 100 E MONROE ST
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City | GRENADA
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State | MS
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Zip | 38901-5249
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Country | US
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Telephone | 662-417-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E MONROE ST
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City | GRENADA
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State | MS
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Zip | 38901-5249
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Country | US
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Telephone | 662-226-0600
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Fax | 662-226-0644
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Authorized Official
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Title or Position | OWNER/FAMILY NURSE PRACTITIONER
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Name | MRS. DEBBIE PATE MCGEHEE
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Credential | APN
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Telephone | 662-417-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | R745671
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License Number State | MS
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