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General NPI Number Information
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NPI Number | 1659171445
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Entity Type | Individual
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Provider Name | SABRINA COLEMAN MSN,APRN,RN, PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 200 HIGHWAY 12 E
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City | STARKVILLE
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State | MS
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Zip | 39759-3766
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Country | US
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Telephone | 662-498-1900
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Fax | 662-498-1904
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Provider Business Mailing Address
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Address Line | PO BOX 814
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City | LAMBERT
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State | MS
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Zip | 38643-0814
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Country | US
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Telephone | 662-645-0145
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 907323
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 907392
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License Number State | MS
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