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General NPI Number Information
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NPI Number | 1639761992
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Entity Type | Individual
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Provider Name | KEVIN W ARMSTRONG
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Gender | Male
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 1014 N JACKSON ST
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City | STARKVILLE
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State | MS
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Zip | 39759-2211
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Country | US
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Telephone | 601-622-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 409 CHOCTAW LN
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City | FLOWOOD
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State | MS
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Zip | 39232-8672
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Country | US
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Telephone | 601-622-2473
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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