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General NPI Number Information
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NPI Number | 1689755548
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Entity Type | Organization
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Legal Business Name | SINGING RIVER HEALTH SYSTEM
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 1121 OCEAN SPRINGS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3421
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Country | US
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Telephone | 228-818-2160
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Fax | 228-872-7768
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Provider Business Mailing Address
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Address Line | 2101 HIGHWAY 90
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City | GAUTIER
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State | MS
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Zip | 39553-5340
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Country | US
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Telephone | 228-497-2400
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. LEE BOND
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Credential |
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Telephone | 228-809-2074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | MS
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