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General NPI Number Information
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NPI Number | 1386534634
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Entity Type | Individual
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Provider Name | ANTHONY CHASE EUBANKS NP
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Gender | Male
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 5912 OLD MOBILE AVE STE 1
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City | PASCAGOULA
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State | MS
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Zip | 39581-4520
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Country | US
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Telephone | 228-762-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 LLOYD EUBANKS RD
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City | LUCEDALE
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State | MS
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Zip | 39452
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Country | US
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Telephone | 601-394-7179
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Fax |
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 907400
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License Number State | MS
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