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General NPI Number Information
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NPI Number | 1891150629
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Entity Type | Organization
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Legal Business Name | PICAYUNE PEDIATRICS LLC
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 200 COUNTRY CLUB RD
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City | CARRIERE
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State | MS
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Zip | 39426-9037
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Country | US
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Telephone | 601-590-1045
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 W FOURTH AVE
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City | PICAYUNE
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State | MS
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Zip | 39466-3112
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Country | US
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Telephone | 601-590-1045
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETTY JO ALEXANDER
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Credential | CPNP
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Telephone | 601-590-1045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | R687693
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License Number State | MS
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