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General NPI Number Information
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NPI Number | 1912136490
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Entity Type | Individual
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Provider Name | CHARLES ANDREW OUZTS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 294 E LAYFAIR DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9526
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Country | US
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Telephone | 601-414-6520
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Fax | 601-414-6568
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Provider Business Mailing Address
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Address Line | 415 S 28TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-7246
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Country | US
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Telephone | 601-414-6520
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Fax | 601-414-6568
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 22581
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22581
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License Number State | MS
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