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General NPI Number Information
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NPI Number | 1922572882
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Entity Type | Individual
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Provider Name | AMANDA BASS
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Gender | Female
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 720 AVIGNON DR STE 7
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City | RIDGELAND
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State | MS
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Zip | 39157-5166
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Country | US
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Telephone | 601-454-3283
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Fax |
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Provider Business Mailing Address
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Address Line | 3428 LAMPTON AVE
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City | JACKSON
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State | MS
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Zip | 39213-5661
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Country | US
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Telephone | 601-503-4904
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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