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General NPI Number Information
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NPI Number | 1982768388
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Entity Type | Organization
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Legal Business Name | THREE RIVERS PLANNING & DEVELOPMENT DISTRICT
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 75 S MAIN ST
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City | PONTOTOC
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State | MS
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Zip | 38863-2914
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Country | US
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Telephone | 662-489-2415
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Fax | 662-489-6815
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Provider Business Mailing Address
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Address Line | 75 S MAIN ST PO BOX 690
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City | PONTOTOC
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State | MS
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Zip | 38863-2914
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Country | US
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Telephone | 662-489-2415
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Fax | 662-489-6815
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. VERNON R KELLEY III
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Credential |
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Telephone | 662-489-2415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | MS
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