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General NPI Number Information
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NPI Number | 1376612895
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Entity Type | Organization
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Legal Business Name | NORTH SUNFLOWER MEDICAL CENTER
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 200 W FLOYCE ST
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City | RULEVILLE
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State | MS
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Zip | 38771-3408
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Country | US
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Telephone | 662-756-1660
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Fax | 662-756-4030
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | RULEVILLE
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State | MS
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Zip | 38771-0129
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Country | US
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Telephone | 662-756-1660
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Fax | 662-756-4030
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSE D CEJA
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Credential |
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Telephone | 662-756-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 06952/11.1
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License Number State | MS
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