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General NPI Number Information
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NPI Number | 1356533558
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Entity Type | Individual
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Provider Name | JAMILA A MITCHELL DDS
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Gender | Female
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 1218 DILLARD ST
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City | NEW IBERIA
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State | LA
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Zip | 70560-0834
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Country | US
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Telephone | 337-365-5078
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Fax | 337-365-5078
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Provider Business Mailing Address
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Address Line | PO BOX 13934
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City | NEW IBERIA
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State | LA
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Zip | 70562-3934
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Country | US
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Telephone | 337-365-5078
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Fax | 337-365-5078
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5862
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License Number State | LA
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