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General NPI Number Information
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NPI Number | 1639539463
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Entity Type | Organization
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Legal Business Name | JFMC TAYLORSVILLE, LLC
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Dates
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Enumeration Date | 03/07/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 403 PINE ST
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City | TAYLORSVILLE
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State | MS
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Zip | 39168-5528
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Country | US
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Telephone | 601-478-5020
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Fax | 601-785-0205
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Provider Business Mailing Address
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Address Line | 403 PINE ST
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City | TAYLORSVILLE
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State | MS
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Zip | 39168-5528
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Country | US
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Telephone | 601-785-0202
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Fax | 601-785-0205
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | KAYE JONES
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Credential |
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Telephone | 601-425-0092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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