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General NPI Number Information
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NPI Number | 1811129323
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Entity Type | Organization
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Legal Business Name | DCA MISSISSIPPI LLC
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 3322 W END AVE 11TH FLOOR
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City | NASHVILLE
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State | TN
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Zip | 37203-1031
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Country | US
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Telephone | 615-515-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 3322 W END AVE 11TH FLOOR
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City | NASHVILLE
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State | TN
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Zip | 37203-1031
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Country | US
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Telephone | 615-515-9880
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Fax | 615-515-9891
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. MARGARET D'ANGELO
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Credential |
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Telephone | 615-610-2067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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