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General NPI Number Information
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NPI Number | 1639543085
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Entity Type | Organization
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Legal Business Name | PRECISION HEALTHCARE LLC
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 105 EDGEWOOD BLVD
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City | OXFORD
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State | MS
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Zip | 38655-5629
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Country | US
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Telephone | 662-983-0038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2598
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City | OXFORD
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State | MS
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Zip | 38655-4900
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Country | US
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Telephone | 662-983-0038
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | LEANNA D KING
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Credential | APN
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Telephone | 662-983-0038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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