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General NPI Number Information
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NPI Number | 1598560906
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 7 PROFESSIONAL PKWY STE 101
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City | HATTIESBURG
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State | MS
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Zip | 39402-2648
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Country | US
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Telephone | 601-706-5336
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Fax |
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Provider Business Mailing Address
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Address Line | 7 PROFESSIONAL PKWY STE 101
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City | HATTIESBURG
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State | MS
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Zip | 39402-2648
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Country | US
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Telephone | 601-706-5336
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | CHAQUITA HENDERSON
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Credential |
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Telephone | 601-434-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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