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General NPI Number Information
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NPI Number | 1952509580
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Entity Type | Organization
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Legal Business Name | THE UNIVERSITY OF SOUTHERN MISSISSIPPI
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 118 COLLEGE DR # 5163
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City | HATTIESBURG
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State | MS
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Zip | 39406-0001
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Country | US
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Telephone | 601-266-5163
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Fax | 601-266-5114
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Provider Business Mailing Address
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Address Line | 118 COLLEGE DR # 5163
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City | HATTIESBURG
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State | MS
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Zip | 39406-0001
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Country | US
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Telephone | 601-266-5163
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Fax | 601-266-5114
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Authorized Official
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Title or Position | ASSISTANT TO BUSINESS AND FINANCE
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Name | MS. TAMMY I MORRIS
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Credential | MBA
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Telephone | 601-266-6852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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