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NPI 1598282162

NPI 1598282162 : RMW DMD, PA : OCEAN SPRINGS, MS

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General NPI Number Information
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    NPI Number           |    1598282162
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    Entity Type          |    Organization 
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    Legal Business Name  |    RMW DMD, PA 
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Dates
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    Enumeration Date     |    08/24/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    6819 WASHINGTON AVE STE C 
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    City                 |    OCEAN SPRINGS
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    State                |    MS
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    Zip                  |    39564-2181
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    Country              |    US
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    Telephone            |    228-215-1202
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    Fax                  |    228-447-4775
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Provider Business Mailing Address
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    Address Line         |    6819 WASHINGTON AVE STE C 
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    City                 |    OCEAN SPRINGS
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    State                |    MS
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    Zip                  |    39564-2181
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    Country              |    US
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    Telephone            |    228-215-1202
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    Fax                  |    228-447-4775
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. KARI E LEWIS 
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    Credential           |    
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    Telephone            |    228-215-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    3600-11
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    License Number State |    MS
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