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General NPI Number Information
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NPI Number | 1417864042
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Entity Type | Organization
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Legal Business Name | SENTRY-HARRISON LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 8051 DAISY VESTRY ROAD
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City | BILOXI
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State | MS
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Zip | 39532
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Country | US
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Telephone | 228-466-0843
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6579
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City | DIBERVILLE
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State | MS
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Zip | 39540-6579
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Country | US
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Telephone | 228-466-0843
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. COLLIN CHEEK
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Credential |
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Telephone | 228-466-0843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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