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General NPI Number Information
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NPI Number | 1518105246
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Entity Type | Organization
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Legal Business Name | RAMSEY E WILSON, DMD PLLC
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 802 S FIR AVE
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City | COLLINS
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State | MS
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Zip | 39428-4143
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Country | US
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Telephone | 601-765-4405
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Fax | 601-765-0536
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Provider Business Mailing Address
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Address Line | PO BOX 729
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City | COLLINS
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State | MS
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Zip | 39428-0729
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Country | US
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Telephone | 601-765-4405
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Fax | 601-765-0536
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | JAN HARRINGTON
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Credential |
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Telephone | 601-765-4405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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