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General NPI Number Information
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NPI Number | 1760693675
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Entity Type | Organization
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Legal Business Name | WEBSTER COUNTY SCHOOLS
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | RR 3 BOX 81
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City | MATHISTON
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State | MS
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Zip | 39752-9706
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Country | US
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Telephone | 662-263-4402
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Fax |
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Provider Business Mailing Address
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Address Line | 212 W CLARK AVE
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City | EUPORA
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State | MS
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Zip | 39744-2704
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Country | US
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Telephone | 662-258-8515
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | JIMMY PITTMAN
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Credential |
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Telephone | 662-258-5921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | R863259
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License Number State | MS
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