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General NPI Number Information
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NPI Number | 1740676006
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI NEPHROLOGISTS LLC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 150 JEFFERSON DAVIS BLVD STE 100
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City | NATCHEZ
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State | MS
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Zip | 39120-5120
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Country | US
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Telephone | 601-273-3554
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Fax | 601-653-9589
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Provider Business Mailing Address
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Address Line | 150 JEFFERSON DAVIS BLVD STE 100
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City | NATCHEZ
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State | MS
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Zip | 39120-5120
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Country | US
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Telephone | 601-273-3554
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Fax | 601-653-9589
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | CARYL SCHARPF
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Credential |
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Telephone | 601-273-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 23889
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License Number State | MS
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