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General NPI Number Information
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NPI Number | 1598687014
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Entity Type | Organization
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Legal Business Name | MILESTONE PEDIATRIC MEDICAL CENTER
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 4753 MCWILLIE DR
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City | JACKSON
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State | MS
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Zip | 39206-5605
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Country | US
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Telephone | 601-291-9285
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3263
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City | RIDGELAND
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State | MS
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Zip | 39158-3263
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Country | US
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Telephone | 601-291-9285
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | LAHILLARIE CHRISTON
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Credential |
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Telephone | 601-291-9285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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