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General NPI Number Information
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NPI Number | 1801386487
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Entity Type | Organization
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Legal Business Name | SUNFLOWER-HUMPHREYS COUNTIES PROGRESS, INC.
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 05/18/2018
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Provider Practice Location Address
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Address Line | 414 MARTIN LUTHER KING DR
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City | INDIANOLA
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State | MS
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Zip | 38930
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Country | US
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Telephone | 662-887-1431
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Fax | 662-887-4888
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Provider Business Mailing Address
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Address Line | PO BOX 908
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City | INDIANOLA
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State | MS
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Zip | 38751-0908
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Country | US
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Telephone | 662-887-1431
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Fax | 662-887-4888
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. CHRISTOPHER CARPENTER
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Credential |
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Telephone | 662-887-1431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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