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General NPI Number Information
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NPI Number | 1871204131
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Entity Type | Organization
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Legal Business Name | ALFREDA CARING FOR LIFE
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 20011 SIMPSON DR
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City | ABERDEEN
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State | MS
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Zip | 39730-8567
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Country | US
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Telephone | 662-255-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 20011 SIMPSON DR
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City | ABERDEEN
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State | MS
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Zip | 39730-8567
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Country | US
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Telephone | 662-255-6664
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Fax |
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Authorized Official
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Title or Position | ORGANIZATION
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Name | ALFREDA FORSHEE
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Credential |
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Telephone | 662-255-6664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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