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General NPI Number Information
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NPI Number | 1730121088
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Entity Type | Organization
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Legal Business Name | SOUTH CENTRAL REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1100 WEST DR
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City | LAUREL
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State | MS
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Zip | 39440-4730
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Country | US
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Telephone | 601-422-0022
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Fax | 601-428-7138
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Provider Business Mailing Address
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Address Line | 1100 WEST DR
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City | LAUREL
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State | MS
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Zip | 39440-4730
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Country | US
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Telephone | 601-422-0022
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Fax | 601-428-7138
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Authorized Official
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Title or Position | CFO
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Name | STEPHEN H EAST
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Credential |
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Telephone | 601-399-6144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 737
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License Number State | MS
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