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General NPI Number Information
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NPI Number | 1932466844
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Entity Type | Organization
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Legal Business Name | THE OXFORD CENTRE, INC.
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 1916 UNIVERSITY AVE
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City | OXFORD
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State | MS
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Zip | 38655-4114
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Country | US
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Telephone | 662-281-9992
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Fax | 662-281-1326
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Provider Business Mailing Address
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Address Line | PO BOX 3488 DEPT. 05-020
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City | TUPELO
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State | MS
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Zip | 38803-3488
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Country | US
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Telephone | 662-281-9992
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Fax | 662-281-1326
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Authorized Official
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Title or Position | SEC./TREAS.
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Name | THOMAS DEBOW FOWLKES
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Credential | MD
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Telephone | 662-281-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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