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General NPI Number Information
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NPI Number | 1811888027
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Entity Type | Organization
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Legal Business Name | THRIVE MEDICAL & WELLNESS, PLLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1800 CHERYL ST
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City | CLARKSDALE
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State | MS
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Zip | 38614-7219
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Country | US
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Telephone | 662-721-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 281 WESTOVER DR
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City | CLARKSDALE
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State | MS
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Zip | 38614-9770
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Country | US
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Telephone | 662-721-0050
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. CLIFTON DEWAYNE REED
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Credential | NP
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Telephone | 662-721-0050
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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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