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General NPI Number Information
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NPI Number | 1912893322
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Entity Type | Organization
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Legal Business Name | WEBSTER URGENT CARE CALEDONIA LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 39 SOUTH STREET
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City | CALEDONIA
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State | MS
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Zip | 39740
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Country | US
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Telephone | 662-356-1560
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Fax |
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Provider Business Mailing Address
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Address Line | 39 SOUTH STREET
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City | CALEDONIA
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State | MS
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Zip | 39740-8590
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Country | US
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Telephone | 662-356-1560
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Fax | 662-356-1560
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MISTI GARNETT
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Credential | FNP-C
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Telephone | 662-418-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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