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General NPI Number Information
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NPI Number | 1891920526
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Entity Type | Organization
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Legal Business Name | CENTRAL MS OBGYN ASSOCIATES, PLLC
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 1860 CHADWICK DR SUITE 300
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City | JACKSON
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State | MS
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Zip | 39204-3463
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Country | US
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Telephone | 601-376-2999
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Fax | 601-376-2989
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Provider Business Mailing Address
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Address Line | 1860 CHADWICK DR SUITE 300
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City | JACKSON
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State | MS
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Zip | 39204-3463
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Country | US
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Telephone | 601-376-2999
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Fax | 601-376-2989
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | DR. SAMUEL FLOYD BROWN
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Credential | MD
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Telephone | 601-376-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 18575
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License Number State | MS
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