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General NPI Number Information
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NPI Number | 1457568149
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Entity Type | Organization
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Legal Business Name | INCARE INC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1151 NORTH STATE ST SUITE 406
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City | JACKSON
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State | MS
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Zip | 39202
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Country | US
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Telephone | 601-353-0407
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Fax | 601-981-1869
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Provider Business Mailing Address
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Address Line | PO BOX 4199
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City | JACKSON
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State | MS
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Zip | 39296
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Country | US
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Telephone | 601-981-1861
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Fax | 601-981-1869
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BEVERLY A SUMRALL
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Credential |
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Telephone | 601-981-1861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225B00000X
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Taxonomy Name | Pulmonary Function Technologist
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License Number |
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License Number State |
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