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General NPI Number Information
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NPI Number | 1932110954
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Entity Type | Individual
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Provider Name | ELLEN MCGUFFEY CPNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 102 DOCTORS PARK
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City | STARKVILLE
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State | MS
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Zip | 39759-2570
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Country | US
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Telephone | 662-323-0999
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Fax | 662-324-0250
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Provider Business Mailing Address
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Address Line | 102 DOCTORS PARK
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City | STARKVILLE
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State | MS
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Zip | 39759-2570
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Country | US
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Telephone | 662-323-0999
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Fax | 662-324-0250
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R627305
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License Number State | MS
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