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General NPI Number Information
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NPI Number | 1952991093
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Entity Type | Individual
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Provider Name | JAMES TURNER SANDERSON RD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 10 COUNTY ROAD 505
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City | CORINTH
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State | MS
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Zip | 38834-8323
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Country | US
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Telephone | 662-317-8285
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Fax |
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Provider Business Mailing Address
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Address Line | 401 ALCORN DR STE 2C
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City | CORINTH
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State | MS
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Zip | 38834-9073
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Country | US
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Telephone | 662-293-7618
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Fax | 662-293-4358
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | D-1984
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License Number State | MS
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