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General NPI Number Information
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NPI Number | 1619559309
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Entity Type | Organization
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Legal Business Name | MONROE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 1105 EARL FRYE BLVD
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City | AMORY
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State | MS
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Zip | 38821-5500
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Country | US
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Telephone | 662-256-7111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3294
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City | TUPELO
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State | MS
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Zip | 38803-3294
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | BRUCE TOPPIN
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Credential |
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Telephone | 662-377-4229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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