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General NPI Number Information
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NPI Number | 1821208372
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Entity Type | Organization
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Legal Business Name | NATCHEZ PODIATRY & FOOT SURGERY PA
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 228C JOHN R JUNKIN DR
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City | NATCHEZ
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State | MS
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Zip | 39120-3822
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Country | US
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Telephone | 601-446-9850
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Fax | 601-446-9833
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Provider Business Mailing Address
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Address Line | 228C JOHN R JUNKIN DR
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City | NATCHEZ
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State | MS
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Zip | 39120-3822
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Country | US
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Telephone | 601-446-9850
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Fax | 601-446-9833
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Authorized Official
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Title or Position | OFFICER
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Name | DR. RICHARD G MYERS
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Credential | DPM
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Telephone | 601-446-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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