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General NPI Number Information
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NPI Number | 1669424701
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI HEARING CENTER, INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1151 N STATE ST SUITE 107
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City | JACKSON
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State | MS
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Zip | 39202-2407
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Country | US
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Telephone | 601-352-4613
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Fax | 601-969-1976
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Provider Business Mailing Address
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Address Line | 1151 N STATE ST SUITE 107
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City | JACKSON
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State | MS
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Zip | 39202-2407
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Country | US
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Telephone | 601-352-4613
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Fax | 601-969-1976
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MYRON WILLIS LOCKEY
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Credential | M. D.
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Telephone | 601-352-4613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 04537
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number | 04537
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License Number State | MS
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