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General NPI Number Information
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NPI Number | 1497413330
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Entity Type | Organization
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Legal Business Name | LUMLEY HEALTH SERVICES LLC
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 106 BRADY DR
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City | BROOKHAVEN
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State | MS
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Zip | 39601-3738
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Country | US
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Telephone | 601-754-9411
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Fax |
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Provider Business Mailing Address
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Address Line | 327 N JACKSON ST
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City | BROOKHAVEN
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State | MS
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Zip | 39601-3041
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Country | US
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Telephone | 601-754-9411
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MISSI ROBINSON
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Credential |
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Telephone | 601-248-7135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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