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General NPI Number Information
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NPI Number | 1710145750
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Entity Type | Organization
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Legal Business Name | BILOXI HMA INC
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 150 REYNOIR ST
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City | BILOXI
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State | MS
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Zip | 39530-4130
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Country | US
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Telephone | 228-374-7288
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Fax | 228-374-7094
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Provider Business Mailing Address
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Address Line | PO BOX 128
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City | BILOXI
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State | MS
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Zip | 39533-0128
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Country | US
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Telephone | 228-374-7288
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BRENDA WHITWELL
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Credential |
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Telephone | 228-374-7288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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