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General NPI Number Information
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NPI Number | 1013947951
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Entity Type | Organization
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Legal Business Name | KATHRYN MCCLURE, MD, P.L.L.C.
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1720A MEDICAL PARK DR STE 130A
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City | BILOXI
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State | MS
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Zip | 39532-2122
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Country | US
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Telephone | 228-396-0337
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Fax | 228-396-0971
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Provider Business Mailing Address
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Address Line | 124 ALLAN DR
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City | GULFPORT
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State | MS
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Zip | 39507-1503
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Country | US
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Telephone | 228-396-0337
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Fax | 228-396-0971
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Authorized Official
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Title or Position | MEMBER
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Name | KATHRYN MCCLURE
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Credential | MD
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Telephone | 228-396-0337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 17228
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License Number State | MS
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