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General NPI Number Information
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NPI Number | 1437057924
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI MILITARY DEPT
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Dates
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Enumeration Date | 10/27/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 2090 LEE AVE
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City | HATTIESBURG
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State | MS
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Zip | 39407-0001
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Country | US
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Telephone | 601-387-6755
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 LEE AVE
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City | HATTIESBURG
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State | MS
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Zip | 39407-0001
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Country | US
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Telephone | 601-387-6755
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | CHARLES CHINN
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Credential |
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Telephone | 601-387-6755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3418M1110X
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Taxonomy Name | Military or U.S. Coast Guard Ground Transport Ambulance
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License Number |
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License Number State |
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