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General NPI Number Information
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NPI Number | 1023895398
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Entity Type | Organization
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Legal Business Name | EXCEED OF MS, LLC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 920 CEDAR LAKE RD STE S
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City | BILOXI
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State | MS
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Zip | 39532-2107
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Country | US
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Telephone | 228-324-9145
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Fax |
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Provider Business Mailing Address
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Address Line | 12261 HIGHWAY 49 STE 1
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City | GULFPORT
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State | MS
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Zip | 39503-2976
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Country | US
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Telephone | 228-641-2880
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Fax | 866-807-1723
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Authorized Official
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Title or Position | CO-OWNER
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Name | KRISTEN HARMON CROW
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Credential | DPT
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Telephone | 662-207-3849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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