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General NPI Number Information
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NPI Number | 1437427135
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Entity Type | Organization
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Legal Business Name | LIVING INDEPENDENCE FOR EVERYONE OF MISSISSIPPI
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 1304 VINE ST
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City | JACKSON
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State | MS
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Zip | 39202-3429
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Country | US
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Telephone | 601-969-4009
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Fax | 601-969-1662
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Provider Business Mailing Address
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Address Line | 1304 VINE ST
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City | JACKSON
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State | MS
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Zip | 39202-3429
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Country | US
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Telephone | 601-969-4009
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Fax | 601-969-1662
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CHRISTY G. DUNAWAY
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Credential |
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Telephone | 601-969-4009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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