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Organization
U.S. DEPARTMENT OF VETERANS AFFAIRS
Active
Organization
U.S. DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRYPHENA HUBBARD ELLIS LCSW (SOCIAL WORKER)
(228) 261-0422
Entity
Organization
Contact information
Practice address
400 VETERANS AVE, T100 (SOCIAL WORK), BILOXI, MS 39531-2410
(228) 523-4550
Mailing address
15235 SAINT CHARLES ST, GULFPORT, MS 39503-2822
(228) 261-0422
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340727612
VETERAN AFFAIRS HEALTH CARE SYSTEM
MS
Enumeration date
01/31/2011
Last updated
01/31/2011
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