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General NPI Number Information
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NPI Number | 1437373164
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Entity Type | Organization
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Legal Business Name | CURL & CLARK LLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 153A SOUTH MARKET STREET
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City | HOLLY SPRINGS
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State | MS
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Zip | 38635
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Country | US
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Telephone | 662-252-9987
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Fax | 662-252-7517
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 155 153A SOUTH MARKET STREET
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City | HOLLY SPRINGS
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State | MS
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Zip | 38635
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Country | US
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Telephone | 662-252-9987
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Fax | 662-252-7517
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Authorized Official
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Title or Position | OWNER
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Name | MS. PHYLLIS RENEE WRIGHT
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Credential | FNP
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Telephone | 662-252-9987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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