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General NPI Number Information
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NPI Number | 1497873194
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Entity Type | Organization
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Legal Business Name | ONCALL OF MISSISSIPPI
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 16197B LANDON RD
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City | GULFPORT
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State | MS
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Zip | 39503-4121
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Country | US
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Telephone | 228-831-1510
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Fax |
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Provider Business Mailing Address
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Address Line | 16197B LANDON RD
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City | GULFPORT
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State | MS
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Zip | 39503-4121
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Country | US
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Telephone | 228-831-1510
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Fax |
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Authorized Official
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Title or Position | RN ADMINSTRATOR
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Name | APRIL HOFFMAN
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Credential | RN
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Telephone | 228-831-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2536
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License Number State | MS
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