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General NPI Number Information
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NPI Number | 1558302992
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Entity Type | Organization
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Legal Business Name | HOUSECALL PRACTITIONERS INC.
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3420 WISCONSIN AVE SUITE 6
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City | VICKSBURG
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State | MS
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Zip | 39180-5384
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Country | US
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Telephone | 601-661-8400
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Fax | 601-661-0048
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Provider Business Mailing Address
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Address Line | 3420 WISCONSIN AVE SUITE 6
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City | VICKSBURG
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State | MS
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Zip | 39180-5384
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Country | US
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Telephone | 601-661-8400
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Fax | 601-661-0048
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. WHITNEY DOIRON
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Credential | ANP/GNP
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Telephone | 601-661-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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