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General NPI Number Information
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NPI Number | 1497370233
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Entity Type | Organization
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Legal Business Name | STAT HEALTHCARE LLC
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 06/08/2020
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Provider Practice Location Address
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Address Line | 1000 HIGHLAND COLONY PKWY STE 5203
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City | RIDGELAND
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State | MS
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Zip | 39157-2079
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Country | US
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Telephone | 601-941-9920
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Fax | 601-427-4801
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Provider Business Mailing Address
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Address Line | 1000 HIGHLAND COLONY PKWY STE 5203
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City | RIDGELAND
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State | MS
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Zip | 39157-2079
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Country | US
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Telephone | 601-941-9920
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Fax | 601-427-4801
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. LAFIETT DAVIS- MALLETT
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Credential |
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Telephone | 601-941-9920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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