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General NPI Number Information
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NPI Number | 1508810276
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Entity Type | Organization
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Legal Business Name | MILLER COUNTY HEALTH CENTER
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 2125 HIGHWAY 52
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City | TUSCUMBIA
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State | MO
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Zip | 65082-2305
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Country | US
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Telephone | 573-369-2359
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Fax | 573-369-2350
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Provider Business Mailing Address
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Address Line | PO BOX 2 2125 HIGHWAY 52
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City | TUSCUMBIA
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State | MO
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Zip | 65082-2305
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Country | US
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Telephone | 573-369-2359
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Fax | 573-369-2350
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. BRUCE FRANKLIN JENKINS
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Credential |
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Telephone | 573-369-2359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 17551579
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License Number State | MO
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