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General NPI Number Information
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NPI Number | 1780284935
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Entity Type | Organization
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Legal Business Name | CK &J PRIMARY HEALTHCARE, LLC
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 15 ROLLING HILLS DR
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City | NATCHEZ
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State | MS
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Zip | 39120-2163
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Country | US
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Telephone | 601-334-6123
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Fax |
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Provider Business Mailing Address
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Address Line | 15 ROLLING HILLS DR
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City | NATCHEZ
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State | MS
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Zip | 39120-2163
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Country | US
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Telephone | 601-334-6123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLEOPATHIA CAMPBELL TURNER
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Credential | FNP-C
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Telephone | 601-334-6123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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