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NPI 1689619934

NPI 1689619934 : RAWLS SPRINGS ATTENTANCE CENTER : HATTIESBURG, MS

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General NPI Number Information
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    NPI Number           |    1689619934
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAWLS SPRINGS ATTENTANCE CENTER 
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Dates
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    Enumeration Date     |    06/19/2006
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    Last Update Date     |    02/05/2026
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Provider Practice Location Address
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    Address Line         |    10 ARCHIE SMITH RD 
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    City                 |    HATTIESBURG
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    State                |    MS
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    Zip                  |    39402-9315
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    Country              |    US
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    Telephone            |    601-545-8700
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    Fax                  |    601-450-2493
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1729 
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    City                 |    HATTIESBURG
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    State                |    MS
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    Zip                  |    39403-1729
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    Country              |    US
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    Telephone            |    601-545-8700
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    Fax                  |    601-450-2493
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MRS. JANICE  ROBINSON 
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    Credential           |    
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    Telephone            |    601-545-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    MS
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