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General NPI Number Information
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NPI Number | 1902820350
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Entity Type | Organization
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Legal Business Name | JOHN W. PRATHER, M.D.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 703 ALCORN DR SUITE 102
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City | CORINTH
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State | MS
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Zip | 38834-9302
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Country | US
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Telephone | 662-287-5218
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Fax | 662-286-3186
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Provider Business Mailing Address
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Address Line | P.O. DRAWER 2650
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City | CORINTH
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State | MS
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Zip | 38834
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Country | US
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Telephone | 662-287-5218
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Fax | 662-286-3186
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BARBARA PRATHER
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Credential |
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Telephone | 662-287-5218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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