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General NPI Number Information
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NPI Number | 1780560649
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Entity Type | Organization
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Legal Business Name | RHEMA HEALTH AND WELLNESS
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 431 BROAD ST
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City | COLUMBIA
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State | MS
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Zip | 39429-3056
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Country | US
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Telephone | 601-466-3424
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Fax |
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Provider Business Mailing Address
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Address Line | 116 MADISON PL
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City | HATTIESBURG
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State | MS
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Zip | 39402-8339
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Country | US
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Telephone | 601-466-3424
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. CHRISTA STAPLES
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Credential | FNP
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Telephone | 601-466-3424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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