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General NPI Number Information
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NPI Number | 1396909230
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Entity Type | Organization
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Legal Business Name | VICKSBURG MIDWIFERY INC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 53 BARBER DR
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City | VICKSBURG
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State | MS
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Zip | 39183-1547
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Country | US
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Telephone | 313-312-4787
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Fax |
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Provider Business Mailing Address
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Address Line | 53 BARBER DR
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City | VICKSBURG
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State | MS
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Zip | 39183-1547
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Country | US
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Telephone | 313-312-4787
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Fax |
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Authorized Official
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Title or Position | MIDWIFE
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Name | MRS. VELMA MCALLISTER
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Credential |
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Telephone | 601-529-6959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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