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General NPI Number Information
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NPI Number | 1437404241
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Entity Type | Organization
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Legal Business Name | CAMDEN COMMUNITY FAMILY HEALTH CLINIC, INC.
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 07/17/2012
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Provider Practice Location Address
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Address Line | 1493 HIGHWAY 17
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City | CAMDEN
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State | MS
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Zip | 39045-9524
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Country | US
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Telephone | 601-859-2999
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Fax | 601-859-2999
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Provider Business Mailing Address
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Address Line | PO BOX 29
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City | SHARON
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State | MS
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Zip | 39163-0029
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Country | US
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Telephone | 601-859-2999
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Fax | 601-859-2999
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER/PRESIDENT
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Name | MRS. LINDA P. CHAMBERS
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Credential | FNP-BC
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Telephone | 601-859-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | R860655
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License Number State | MS
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