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General NPI Number Information
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NPI Number | 1669246955
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Entity Type | Individual
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Provider Name | ANNA CLYDE NORTHCUTT LMSW
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Gender | Female
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 400 VETERANS AVE
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City | BILOXI
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State | MS
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Zip | 39531-2410
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Country | US
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Telephone | 228-523-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 415 E SECOND ST
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City | LONG BEACH
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State | MS
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Zip | 39560-6202
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Country | US
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Telephone | 423-400-1807
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 119998
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License Number State | IA
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