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General NPI Number Information
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NPI Number | 1740559921
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI HMA DME, LLC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 184 MAIN ST
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City | BILOXI
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State | MS
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Zip | 39530-3808
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Country | US
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Telephone | 228-435-8370
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Fax | 228-435-8374
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Provider Business Mailing Address
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Address Line | 4290 LAKELAND DR SUITE D
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City | FLOWOOD
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State | MS
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Zip | 39232-9571
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Country | US
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Telephone | 228-435-8370
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Fax | 228-435-8374
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Authorized Official
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Title or Position | SR VP AND GENERAL COUNSEL
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Name | TIMOTHY PARRY
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Credential | ESQ
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Telephone | 239-552-3458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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