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General NPI Number Information
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NPI Number | 1508193459
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Entity Type | Individual
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Provider Name | DAVID BENSON SUMERFORD FNP-BC, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 499 GLOSTER CREEK VLG SUITE D-1
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City | TUPELO
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State | MS
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Zip | 38801-4600
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Country | US
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Telephone | 662-690-8007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | SMITHVILLE
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State | MS
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Zip | 38870-0305
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Country | US
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Telephone | 662-690-8007
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Fax | 662-651-4658
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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 | R884013
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 884013
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License Number State | MS
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