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General NPI Number Information
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NPI Number | 1598753436
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Entity Type | Organization
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Legal Business Name | UNITED METHODIST SENIOR SERVICES OF GOLDEN TRIANGLE AREA, INC.
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 230 AIRLINE RD
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City | COLUMBUS
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State | MS
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Zip | 39702-6348
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Country | US
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Telephone | 662-327-9404
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Fax | 662-328-1445
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Provider Business Mailing Address
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Address Line | 230 AIRLINE RD
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City | COLUMBUS
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State | MS
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Zip | 39702-6348
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Country | US
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Telephone | 662-327-9404
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Fax | 662-328-1445
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Authorized Official
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Title or Position | CEO
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Name | STEVE MCALILLY
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Credential |
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Telephone | 662-844-8977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 769
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License Number State | MS
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