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General NPI Number Information
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NPI Number | 1750826327
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Entity Type | Organization
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Legal Business Name | HINDS STREET BAPTIST CHURCH
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 448 N HINDS ST
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City | GREENVILLE
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State | MS
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Zip | 38701-2928
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Country | US
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Telephone | 662-332-0804
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1588
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City | GREENVILLE
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State | MS
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Zip | 38702-1588
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Country | US
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Telephone | 662-332-0804
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. OLLIE M ARMSTRONG
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Credential |
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Telephone | 662-347-4873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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