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General NPI Number Information
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NPI Number | 1598207912
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Entity Type | Individual
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Provider Name | JULIE MCCORD NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 830 S GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38801-4934
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Country | US
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Telephone | 662-377-3603
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Fax | 662-377-7613
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Provider Business Mailing Address
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Address Line | 595 KIERSTENS LN
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City | PONTOTOC
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State | MS
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Zip | 38863-7245
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Country | US
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Telephone | 662-401-2957
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 901710
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 901710
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License Number State | MS
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