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General NPI Number Information
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NPI Number | 1841066644
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Entity Type | Organization
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Legal Business Name | FUTURE FAMILY CENTER LLC
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 4700 26TH AVE
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City | MERIDIAN
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State | MS
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Zip | 39305-4706
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Country | US
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Telephone | 601-453-3249
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Fax |
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Provider Business Mailing Address
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Address Line | 408 WINDOVER CIR
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City | MERIDIAN
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State | MS
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Zip | 39305-2023
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Country | US
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Telephone | 601-513-1773
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Fax | 251-281-2498
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Authorized Official
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Title or Position | OWNER
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Name | KAYLA MOWDY
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Credential | PT
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Telephone | 601-513-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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