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General NPI Number Information
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NPI Number | 1588726566
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Entity Type | Organization
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Legal Business Name | AVAILABLE PHARMACEUTICAL SERVICES
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 205 MAIN ST N STE C
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City | MENDENHALL
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State | MS
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Zip | 39114-3444
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Country | US
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Telephone | 601-847-7370
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Fax | 601-847-4709
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Provider Business Mailing Address
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Address Line | PO BOX 296
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City | RALEIGH
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State | MS
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Zip | 39153-0296
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Country | US
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Telephone | 601-847-7370
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Fax | 601-847-4709
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Authorized Official
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Title or Position | OWNER CEO
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Name | MR. JIM R KELLY
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Credential |
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Telephone | 601-782-9943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 06453 11.1
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License Number State | MS
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