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General NPI Number Information
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NPI Number | 1457535056
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Entity Type | Organization
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Legal Business Name | UTILIZATION MANAGEMENT
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 576 HIGHLAND COLONY PKWY SUITE 300
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City | RIDGELAND
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State | MS
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Zip | 39157-8769
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Country | US
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Telephone | 601-605-2023
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1859
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City | RIDGELAND
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State | MS
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Zip | 39158-1859
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Country | US
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Telephone | 601-605-2023
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, MANAGED CARE
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Name | CHERRY ROBERTS
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Credential | RN,CCM,CPUR,CNLCP
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Telephone | 601-605-2023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 9923719
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License Number State | MS
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