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General NPI Number Information
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NPI Number | 1730692419
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI HEARING CENTERS
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 1180 CROSS CREEK DR
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City | SALTILLO
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State | MS
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Zip | 38866-5777
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Country | US
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Telephone | 662-842-4345
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Fax | 662-205-4377
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Provider Business Mailing Address
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Address Line | 1180 CROSS CREEK DR
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City | SALTILLO
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State | MS
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Zip | 38866-5777
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Country | US
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Telephone | 662-842-4345
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Fax | 662-205-4377
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS CALEB WILLIAMS
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Credential | LHIS
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Telephone | 256-810-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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