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General NPI Number Information
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NPI Number | 1396151734
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH SPECIALTY CLINIC INC
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 329 HIGHLAND BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-4635
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Country | US
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Telephone | 601-445-0740
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Fax | 601-897-4210
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Provider Business Mailing Address
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Address Line | 329 HIGHLAND BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-4635
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Country | US
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Telephone | 601-445-0740
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Fax | 601-897-4210
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LUCINDA BOSWELL DRANE
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Credential | FNP-BC
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Telephone | 601-445-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 1032011
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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