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General NPI Number Information
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NPI Number | 1669321493
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Entity Type | Organization
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Legal Business Name | TRIPLE THREATS 333
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 4407A CHARLES RD
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City | WHITE HALL
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State | AR
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Zip | 71602-9161
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Country | US
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Telephone | 870-883-0910
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 OTT RD
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City | CALEDONIA
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State | MS
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Zip | 39740-9707
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Country | US
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Telephone | 662-570-8089
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CYNTHIA BROCK
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Credential |
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Telephone | 662-570-8089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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