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General NPI Number Information
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NPI Number | 1669349502
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Entity Type | Organization
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Legal Business Name | TATE COUNTY HOSPITAL
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 3509 HIGHWAY 4 W
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City | SARAH
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State | MS
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Zip | 38665-3567
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Country | US
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Telephone | 662-612-6411
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Fax | 662-612-6414
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Provider Business Mailing Address
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Address Line | PO BOX 508
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City | SENATOBIA
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State | MS
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Zip | 38668-0508
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Country | US
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Telephone | 662-612-6411
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Fax | 662-612-6414
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER MILLER
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Credential | RN
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Telephone | 662-562-3191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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