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General NPI Number Information
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NPI Number | 1700966843
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Entity Type | Organization
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Legal Business Name | BUDS RESPITE CARE
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 132 W MILL RD
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City | SARDIS
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State | MS
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Zip | 38666-2200
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Country | US
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Telephone | 662-487-1015
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Fax | 662-487-9229
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Provider Business Mailing Address
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Address Line | 132 W MILL RD
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City | SARDIS
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State | MS
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Zip | 38666-2200
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Country | US
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Telephone | 662-487-1015
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Fax | 662-487-9229
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Authorized Official
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Title or Position | CEO
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Name | MRS. DEBORA ANN SYKES
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Credential | LICENSE NURSE
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Telephone | 662-487-1015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 385H00000X
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License Number State | MS
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