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General NPI Number Information
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NPI Number | 1902213895
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Entity Type | Individual
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Provider Name | TAMMIE JO ADAMS RN-BSN, MBA
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Gender | Female
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Dates
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Enumeration Date | 07/13/2014
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Last Update Date | 07/13/2014
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Provider Practice Location Address
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Address Line | 225 MOORE ST
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City | PEARL
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State | MS
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Zip | 39208-5128
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Country | US
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Telephone | 601-942-6375
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Fax |
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Provider Business Mailing Address
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Address Line | 225 MOORE ST
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City | PEARL
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State | MS
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Zip | 39208-5128
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Country | US
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Telephone | 601-942-6375
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | R889314
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | R889314
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | R889314
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | R889314
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | R889314
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | R889314
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License Number State | MS
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Taxonomy #7
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | R889314
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License Number State | MS
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Taxonomy #8
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | R889314
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License Number State | MS
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