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General NPI Number Information
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NPI Number | 1689980948
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Entity Type | Organization
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Legal Business Name | BENEMED HOLDINGS, INC.
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 5006 HIGHWAY 80 E STE B
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City | PEARL
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State | MS
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Zip | 39208-4224
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Country | US
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Telephone | 601-376-0855
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Fax | 601-376-0854
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Provider Business Mailing Address
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Address Line | 5006 HIGHWAY 80 E STE B
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City | PEARL
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State | MS
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Zip | 39208-4224
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Country | US
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Telephone | 601-376-0855
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Fax | 601-376-0854
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHI FULLWOOD
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Credential |
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Telephone | 601-376-0855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 06365/11.1
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License Number State | MS
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