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General NPI Number Information
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NPI Number | 1962147926
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Entity Type | Organization
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Legal Business Name | THE MEDICAL ARTHRITIS AND WELLNESS CLINIC OF MISSISSIPPI INC
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 1800 CHERYL STREET
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City | CLARKSDALE
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State | MS
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Zip | 38614-7219
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Country | US
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Telephone | 662-483-1488
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Fax | 662-483-1470
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Provider Business Mailing Address
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Address Line | 1800 CHERYL ST
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City | CLARKSDALE
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State | MS
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Zip | 38614-7219
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Country | US
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Telephone | 662-483-1488
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Fax | 662-483-1470
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM MICHAEL BARR
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Credential | MD
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Telephone | 662-483-1488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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