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General NPI Number Information
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NPI Number | 1578758421
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Entity Type | Organization
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Legal Business Name | NATCHEZ SENIOR CITIZENS MULTIPURPOSE
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 800 WASHINGTON ST
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City | NATCHEZ
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State | MS
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Zip | 39120-3566
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Country | US
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Telephone | 601-442-5082
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Fax | 601-445-6650
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Provider Business Mailing Address
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Address Line | 800 WASHINGTON ST
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City | NATCHEZ
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State | MS
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Zip | 39120-3566
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Country | US
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Telephone | 601-442-5082
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Fax | 601-445-6650
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SABRENA G. BARTLEY
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Credential |
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Telephone | 601-442-5082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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