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General NPI Number Information
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NPI Number | 1821203191
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Entity Type | Organization
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Legal Business Name | JOAN ARMSTRONG
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 06/20/2011
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Provider Practice Location Address
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Address Line | 204 S HIGHLAND DR
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City | TUPELO
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State | MS
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Zip | 38801-4510
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Country | US
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Telephone | 662-231-5580
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Fax | 662-253-5751
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Provider Business Mailing Address
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Address Line | PO BOX 912
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City | VERONA
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State | MS
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Zip | 38879-0912
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Country | US
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Telephone | 662-231-5580
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Fax | 662-253-5751
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOAN LASHALL JUNEARICK
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Credential |
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Telephone | 662-231-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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