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General NPI Number Information
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NPI Number | 1891072377
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Entity Type | Organization
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Legal Business Name | N.E.E.D.S., INC
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 312 GREEN ST
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City | HATTIESBURG
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State | MS
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Zip | 39401-3758
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Country | US
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Telephone | 601-583-3387
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Fax | 601-544-6599
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Provider Business Mailing Address
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Address Line | 312 GREEN ST
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City | HATTIESBURG
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State | MS
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Zip | 39401-3758
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Country | US
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Telephone | 601-583-3387
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Fax | 601-544-6599
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROSE M. HARRELL
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Credential |
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Telephone | 601-583-3387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 171M00000X
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License Number State | MS
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