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General NPI Number Information
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NPI Number | 1730663949
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Entity Type | Organization
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Legal Business Name | AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 800 OHIO AVE
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City | CLARKSDALE
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State | MS
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Zip | 38614-7200
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Country | US
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Telephone | 662-624-2504
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Fax | 662-624-4354
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Provider Business Mailing Address
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Address Line | PO BOX 1216
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City | CLARKSDALE
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State | MS
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Zip | 38614-1216
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Country | US
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Telephone | 662-624-4292
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Fax | 662-624-4354
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | LAQUITTA RICHARD GREEN
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Credential |
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Telephone | 662-624-4292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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