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General NPI Number Information
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NPI Number | 1518670363
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Entity Type | Organization
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Legal Business Name | LM BURNETT HEALTH SERVICES, INC
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Dates
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Enumeration Date | 12/26/2022
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Last Update Date | 12/26/2022
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Provider Practice Location Address
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Address Line | 226 E MAIN ST STE K
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City | SENATOBIA
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State | MS
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Zip | 38668-2133
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Country | US
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Telephone | 662-572-7172
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Fax |
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Provider Business Mailing Address
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Address Line | 226 E MAIN ST STE K
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City | SENATOBIA
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State | MS
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Zip | 38668-2133
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Country | US
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Telephone | 662-572-7172
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LYDIA FRANKLIN
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Credential | DNP
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Telephone | 662-645-0331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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