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General NPI Number Information
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NPI Number | 1437560976
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Entity Type | Organization
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Legal Business Name | ROBERT F HESTER PHD, LLC
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 7 WOODSTONE PLZ STE 5
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City | HATTIESBURG
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State | MS
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Zip | 39402-7508
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Country | US
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Telephone | 601-264-0073
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Fax | 601-264-2620
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Provider Business Mailing Address
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Address Line | PO BOX 18919
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City | HATTIESBURG
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State | MS
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Zip | 39404-8919
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Country | US
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Telephone | 601-264-0073
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Fax | 601-264-2620
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JESSICA GUESS
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Credential |
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Telephone | 601-264-0073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 18194
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License Number State | MS
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