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General NPI Number Information
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NPI Number | 1487834818
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Entity Type | Individual
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Provider Name | NORRIS DOSS NP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 219 BROAD ST
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City | SHANNON
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State | MS
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Zip | 38868-9301
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Country | US
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Telephone | 662-995-2201
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Fax | 662-995-2202
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Provider Business Mailing Address
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Address Line | 219 BROAD ST
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City | SHANNON
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State | MS
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Zip | 38868-9301
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Country | US
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Telephone | 662-995-2201
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Fax | 662-995-2202
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R819576
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License Number State | MS
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