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General NPI Number Information
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NPI Number | 1841404985
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Entity Type | Organization
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Legal Business Name | NESHOBA PHYSICIAN BILLING SERVICE
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 1001 HOLLAND AVE
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City | PHILADELPHIA
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State | MS
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Zip | 39350-2161
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Country | US
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Telephone | 601-656-9460
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Fax | 601-656-2010
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Provider Business Mailing Address
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Address Line | PO BOX 976
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City | PHILADELPHIA
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State | MS
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Zip | 39350-0976
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Country | US
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Telephone | 601-656-9460
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Fax | 601-656-2010
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Authorized Official
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Title or Position | CFO
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Name | SCOTT HESTER MCNAIR
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Credential |
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Telephone | 601-663-1233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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