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General NPI Number Information
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NPI Number | 1841468865
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Entity Type | Organization
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Legal Business Name | JOHN MCINTOSH TURNER
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 1100 S 28TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39402-2609
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Country | US
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Telephone | 601-268-3937
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Fax | 601-268-1375
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Provider Business Mailing Address
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Address Line | 1100 S 28TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39402-2609
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Country | US
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Telephone | 601-268-3937
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Fax | 601-268-1375
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN MCINTOSH TURNER
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Credential | O.D.
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Telephone | 601-268-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 441
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License Number State | MS
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