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General NPI Number Information
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NPI Number | 1689088585
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Entity Type | Organization
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Legal Business Name | MEDICAL SOLUTIONS OF OCEAN SPRINGS
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Dates
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Enumeration Date | 06/18/2014
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 979 TOMMY MUNRO DR
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City | BILOXI
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State | MS
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Zip | 39532-2133
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Country | US
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Telephone | 228-388-0091
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Fax | 228-388-0094
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Provider Business Mailing Address
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Address Line | 1019 GOVERNMENT ST UNIT I
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3860
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHAHJAHAN SULTAN
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Credential |
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Telephone | 412-721-2417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 21500
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License Number State | MS
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