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General NPI Number Information
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NPI Number | 1669536041
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Entity Type | Organization
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Legal Business Name | NATCHEZ REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 54 SGT PRENTISS DR
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City | NATCHEZ
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State | MS
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Zip | 39120-4726
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Country | US
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Telephone | 601-442-3690
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Fax | 601-442-4928
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Provider Business Mailing Address
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Address Line | PO BOX 1488
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City | NATCHEZ
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State | MS
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Zip | 39121-1488
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Country | US
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Telephone | 601-443-2600
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Fax | 601-445-0362
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Authorized Official
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Title or Position | CEO
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Name | MR. JEFFREY WESSELMAN
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Credential |
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Telephone | 601-443-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 18393
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License Number State | MS
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