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General NPI Number Information
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NPI Number | 1659086486
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Entity Type | Individual
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Provider Name | WILLIAM MURRY DODSON CNA
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Gender | Male
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 18308 COMMISSION RD STE A
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City | LONG BEACH
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State | MS
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Zip | 39560-2402
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Country | US
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Telephone | 228-343-6734
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Fax |
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Provider Business Mailing Address
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Address Line | 18308 COMMISSION RD STE A
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City | LONG BEACH
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State | MS
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Zip | 39560-2402
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Country | US
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Telephone | 228-343-6734
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CN0014242811
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 31238
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MS
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