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General NPI Number Information
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NPI Number | 1669783072
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Entity Type | Organization
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Legal Business Name | PARENT & PARENTING NURSES
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 329 CEDARS OF LEBANON RD
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City | JACKSON
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State | MS
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Zip | 39206-3604
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Country | US
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Telephone | 601-613-7879
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Fax |
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Provider Business Mailing Address
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Address Line | P. O. BOX 2685
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City | JACKSON
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State | MS
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Zip | 39207
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Country | UM
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Telephone | 601-613-7879
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. CORNELIUS WALKER
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Credential |
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Telephone | 601-613-7879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1200036056
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License Number State | MS
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