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General NPI Number Information
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NPI Number | 1790678274
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Entity Type | Individual
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Provider Name | ALLYN DENLEY FLAUTT
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1626 HIGHWAY 30 E
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City | OXFORD
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State | MS
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Zip | 38655-2319
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Country | US
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Telephone | 662-371-1326
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Fax |
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Provider Business Mailing Address
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Address Line | 101 HATHORN RD APT 3
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City | OXFORD
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State | MS
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Zip | 38655-4209
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Country | US
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Telephone | 662-614-5709
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 907756
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 924656
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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