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General NPI Number Information
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NPI Number | 1528871266
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Entity Type | Organization
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Legal Business Name | REDMED, LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 705 SISK AVE STE 105
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City | OXFORD
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State | MS
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Zip | 38655-3474
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Country | US
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Telephone | 662-638-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 12 BROOKES XING
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City | PONTOTOC
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State | MS
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Zip | 38863-1009
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Country | US
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Telephone | 662-489-4044
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Fax |
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Authorized Official
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Title or Position | VP OF REVENUE
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Name | LAURIE A. DUNCAN
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Credential |
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Telephone | 678-332-6122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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