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General NPI Number Information
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NPI Number | 1407302151
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Entity Type | Organization
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Legal Business Name | WEBSTER HEALTH SERVICES, INC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 595 EAST VETERANS AVENUE SUITE B
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City | CALHOUN CITY
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State | MS
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Zip | 38916
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Country | US
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Telephone | 662-628-1337
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Fax | 662-628-1346
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Provider Business Mailing Address
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Address Line | 808 VARSITY DR
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City | TUPELO
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State | MS
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Zip | 38801-4613
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Country | US
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Telephone | 662-377-3204
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Fax | 662-377-2057
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | BRUCE TOPPIN
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Credential |
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Telephone | 662-377-4229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 13225
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License Number State | MS
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