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General NPI Number Information
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NPI Number | 1518763838
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Entity Type | Organization
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Legal Business Name | DEVOTED NURSING CARE
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 122 E ACADEMY ST
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City | CANTON
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State | MS
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Zip | 39046-4502
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Country | US
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Telephone | 601-859-8992
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 423
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City | PICKENS
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State | MS
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Zip | 39146-0423
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Country | US
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Telephone | 662-633-7282
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITONER
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Name | MS. DEVETTA HARRIS
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Credential | FNP-C
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Telephone | 662-633-7282
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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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