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General NPI Number Information
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NPI Number | 1760780316
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Entity Type | Individual
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Provider Name | GINNY WARREN KEMP L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 1113 HIGHWAY 98 BYP STE A
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City | COLUMBIA
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State | MS
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Zip | 39429-3746
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Country | US
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Telephone | 601-543-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ASHBURY PL
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City | COLUMBIA
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State | MS
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Zip | 39429-3730
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Country | US
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Telephone | 601-543-9393
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0455
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License Number State | MS
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