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General NPI Number Information
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NPI Number | 1588151310
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY ASSOCIATES OF OXFORD, LLC
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 1626 HIGHWAY 30 E
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 623-711-3266
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1158
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City | OXFORD
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State | MS
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Zip | 38655-1158
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | HANNAH MAYO
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Credential |
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Telephone | 662-371-1326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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