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General NPI Number Information
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NPI Number | 1538786090
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Entity Type | Organization
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Legal Business Name | ESSENTIAL HEALTH & WELLNESS CLINIC P.A.
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 5842 GOODMAN RD STE 1
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City | HORN LAKE
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State | MS
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Zip | 38637-8106
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Country | US
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Telephone | 662-449-6570
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Fax | 662-510-8586
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Provider Business Mailing Address
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Address Line | 5842 GOODMAN RD STE 1
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City | HORN LAKE
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State | MS
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Zip | 38637-8106
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Country | US
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Telephone | 662-449-6570
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Fax | 662-510-8586
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA MURRY
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Credential |
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Telephone | 662-347-1953
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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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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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