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General NPI Number Information
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NPI Number | 1629430350
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Entity Type | Organization
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Legal Business Name | WINDING ROADS CENTER
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 246 S VETERANS BLVD
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City | TUPELO
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State | MS
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Zip | 38804-5022
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Country | US
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Telephone | 910-610-7337
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 157
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City | PLANTERSVILLE
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State | MS
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Zip | 38862-0157
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Country | US
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Telephone | 910-610-7337
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. NORRIS LIPSEY
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Credential | D-MIN
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Telephone | 910-610-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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