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General NPI Number Information
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NPI Number | 1578634127
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Entity Type | Organization
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Legal Business Name | JONES COUNTY SCHOOL
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 990 HIGHWAY 15 S
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City | LAUREL
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State | MS
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Zip | 39443-0801
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Country | US
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Telephone | 601-428-0855
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Fax | 601-428-1165
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Provider Business Mailing Address
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Address Line | 990 HIGHWAY 15 S
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City | LAUREL
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State | MS
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Zip | 39443-0801
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Country | US
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Telephone | 601-428-0855
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Fax | 601-428-1165
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. THOMAS PRINE
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Credential |
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Telephone | 601-649-5201
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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 | 84601
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License Number State | MS
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