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General NPI Number Information
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NPI Number | 1023959889
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Entity Type | Individual
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Provider Name | VICTORIA GREGORY RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 15516 LEMOYNE BLVD
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City | BILOXI
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State | MS
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Zip | 39532-5113
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Country | US
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Telephone | 228-233-0686
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 POTICAW BAYOU RD
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City | VANCLEAVE
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State | MS
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Zip | 39565-7104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 910542
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-319155
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License Number State | MS
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