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General NPI Number Information
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NPI Number | 1609780725
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Entity Type | Individual
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Provider Name | DR. JAMESHA KEITHLEY
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 747 HIGHWAY 1 S
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City | GREENVILLE
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State | MS
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Zip | 38701-5958
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Country | US
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Telephone | 662-332-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 1732 ALABAMA DR
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City | GREENVILLE
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State | MS
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Zip | 38703-2705
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Country | US
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Telephone | 662-822-8953
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-102593
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License Number State | MS
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