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General NPI Number Information
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NPI Number | 1376969071
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Entity Type | Organization
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Legal Business Name | FUGETT HEALTH SERVICES LLC
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 1239 HIGHWAY 278 E
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City | AMORY
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State | MS
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Zip | 38821-5807
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Country | US
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Telephone | 662-256-1350
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Fax | 662-256-1350
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Provider Business Mailing Address
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Address Line | 1239 HIGHWAY 278 E
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City | AMORY
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State | MS
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Zip | 38821-5807
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Country | US
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Telephone | 662-256-1350
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Fax | 662-256-1350
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARTHA CAITLIN FUGETT
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Credential |
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Telephone | 662-256-1350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1187
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License Number State | MS
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