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General NPI Number Information
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NPI Number | 1669911905
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Entity Type | Organization
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Legal Business Name | MIDDLE MISSISSIPPI ANALYTICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 114 JEFFERSON DAVIS BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-5104
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Country | US
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Telephone | 601-442-5382
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Fax | 601-442-2058
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Provider Business Mailing Address
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Address Line | 114 JEFFERSON DAVIS BLVD
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City | NATCHEZ
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State | MS
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Zip | 39120-5104
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Country | US
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Telephone | 601-442-5382
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Fax | 601-442-2058
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Authorized Official
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Title or Position | SOLE MBR
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Name | MRS. LYNDA W. FELDMAN
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Credential |
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Telephone | 225-201-0950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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