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General NPI Number Information
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NPI Number | 1437370236
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Entity Type | Organization
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Legal Business Name | MID-SOUTH SERVICE GROUP, INC.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 317 E MAIN ST
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City | PORTAGEVILLE
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State | MO
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Zip | 63873-1615
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Country | US
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Telephone | 573-379-9358
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Fax | 573-379-5490
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Provider Business Mailing Address
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Address Line | 317 E MAIN ST PO BOX 376
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City | PORTAGEVILLE
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State | MO
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Zip | 63873-1615
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Country | US
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Telephone | 573-379-9358
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Fax | 573-379-5490
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES MCNEAL
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Credential |
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Telephone | 573-379-9358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State | MO
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