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General NPI Number Information
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NPI Number | 1952093650
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 513 6TH ST
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City | CLARKSDALE
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State | MS
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Zip | 38614-5208
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Country | US
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Telephone | 166-264-5948
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | HORN LAKE
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State | MS
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Zip | 38637-0580
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHANIEL BROOKS
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Credential |
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Telephone | 662-645-9487
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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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