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General NPI Number Information
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NPI Number | 1932907169
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Entity Type | Organization
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Legal Business Name | QUALITY MEDICAL CLINIC II URGENT CARE
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 120 5TH AVE
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City | MCCOMB
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State | MS
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Zip | 39648
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Country | US
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Telephone | 601-249-0013
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Fax | 601-730-6667
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Provider Business Mailing Address
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Address Line | 120 5TH AVE
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City | MCCOMB
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State | MS
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Zip | 39648
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Country | US
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Telephone | 601-249-0013
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Fax | 601-730-6667
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | LINDA ANAZIA
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Credential |
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Telephone | 601-249-0013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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