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General NPI Number Information
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NPI Number | 1679567556
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Entity Type | Organization
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Legal Business Name | NEW HOPE MEDICAL CLINIC, INC.
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 2110 LAKE LOWNDES RD
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City | COLUMBUS
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State | MS
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Zip | 39702-9655
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Country | US
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Telephone | 662-329-4940
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 LAKE LOWNDES RD
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City | COLUMBUS
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State | MS
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Zip | 39702-9655
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Country | US
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Telephone | 662-329-4940
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA LAMISON
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Credential |
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Telephone | 662-329-4940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State | MS
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