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General NPI Number Information
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NPI Number | 1871687749
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Entity Type | Organization
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Legal Business Name | AUBURN FAMILY MEDICAL CLINIC, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 149 N EASON BLVD
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City | TUPELO
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State | MS
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Zip | 38804
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Country | US
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Telephone | 662-678-1050
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Fax | 662-678-1067
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Provider Business Mailing Address
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Address Line | PO BOX 726
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City | TUPELO
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State | MS
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Zip | 38802
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Country | US
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Telephone | 662-678-1050
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Fax | 662-678-1067
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RHONDA LEIGH COX
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Credential |
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Telephone | 662-678-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R853933
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R697621
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License Number State | MS
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