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General NPI Number Information
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NPI Number | 1689861478
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Entity Type | Organization
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Legal Business Name | WADSWORTH CLINIC, P. A.
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2240 HIGHWAY 51 S
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City | HERNANDO
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State | MS
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Zip | 38632-1737
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Country | US
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Telephone | 662-429-5231
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Fax | 662-429-4922
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Provider Business Mailing Address
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Address Line | 2240 HIGHWAY 51 S
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City | HERNANDO
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State | MS
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Zip | 38632-1737
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Country | US
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Telephone | 662-429-5231
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Fax | 662-429-4922
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM M. WADSWORTH SR.
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Credential | M.D.
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Telephone | 662-429-5231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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