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General NPI Number Information
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NPI Number | 1356484604
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Entity Type | Organization
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Legal Business Name | NATCHEZ RURAL HEALTH CLINIC, INC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 500 N MARTIN LUTHER KING JR ST
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City | NATCHEZ
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State | MS
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Zip | 39120-2955
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Country | US
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Telephone | 601-446-7332
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Fax | 601-445-0624
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Provider Business Mailing Address
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Address Line | 500 MARTIN LUTHER KING JR STREET
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City | NATCHEZ
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State | MS
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Zip | 39120-0000
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Country | US
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Telephone | 601-446-7332
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Fax | 601-445-0624
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES ROY TODD JR.
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Credential | MD
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Telephone | 601-446-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 06605
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License Number State | MS
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