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General NPI Number Information
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NPI Number | 1710811864
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Entity Type | Individual
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Provider Name | LAMIA R HAGGARD LPN, RBT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 3505 PEMBERTON SQUARE BLVD STE 24
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City | VICKSBURG
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State | MS
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Zip | 39180-5563
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Country | US
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Telephone | 769-302-0182
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 BAYOU DR
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City | TALLULAH
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State | LA
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Zip | 71282-4701
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Country | US
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Telephone | 601-529-6370
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 321376
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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