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General NPI Number Information
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NPI Number | 1629180815
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Entity Type | Individual
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Provider Name | MS. CHARLOTTE A MCCLELLAN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 404 ASHRIDGE PL
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City | RIDGELAND
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State | MS
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Zip | 39157-4136
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Country | US
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Telephone | 601-898-1472
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Fax |
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Provider Business Mailing Address
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Address Line | 404 ASHRIDGE PL
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City | RIDGELAND
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State | MS
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Zip | 39157-4136
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Country | US
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Telephone | 601-898-1472
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R784906
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License Number State | MS
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