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General NPI Number Information
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NPI Number | 1750084299
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Entity Type | Organization
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Legal Business Name | DESTIN COMMUNITY CARE INC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2731 OLD BRANDON RD
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City | PEARL
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State | MS
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Zip | 39208-4702
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Country | US
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Telephone | 601-249-9868
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1615
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City | YAZOO CITY
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State | MS
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Zip | 39194-1615
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Country | US
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Telephone | 601-249-9868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DE'JA M ALMORE
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Credential |
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Telephone | 601-249-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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