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General NPI Number Information
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NPI Number | 1437175270
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Entity Type | Organization
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Legal Business Name | THE MAGNOLIA WOMEN'S CLINIC, P.A.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 512 ALCORN DR
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City | CORINTH
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State | MS
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Zip | 38834-9392
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Country | US
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Telephone | 662-286-6090
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Fax | 662-286-7008
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Provider Business Mailing Address
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Address Line | PO BOX 779
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City | CORINTH
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State | MS
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Zip | 38835-0779
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Country | US
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Telephone | 662-286-6090
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Fax | 662-286-7008
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Authorized Official
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Title or Position | PRESIDENT/SECRETARY OF CORPORATION
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Name | DR. DON E SIMPSON
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Credential | MD
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Telephone | 662-286-6090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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