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General NPI Number Information
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NPI Number | 1730304783
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Entity Type | Organization
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Legal Business Name | RANKIN MEDICAL CENTER
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 350 CROSSGATES BLVD
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City | BRANDON
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State | MS
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Zip | 39042-2601
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Country | US
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Telephone | 601-825-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 350 CROSSGATES BOULEVARD
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City | BRANDON
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State | MS
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Zip | 39042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAID BILLER
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Name | LATASHA JONES
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Credential |
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Telephone | 601-824-8511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | MS
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