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General NPI Number Information
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NPI Number | 1043391436
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Entity Type | Organization
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Legal Business Name | THE DIABETES CENTER, PLLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 1278 OCEAN SPRINGS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3409
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Country | US
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Telephone | 228-875-3606
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Fax | 228-875-3687
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Provider Business Mailing Address
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Address Line | 3099 BIENVILLE BLVD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-4308
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Country | US
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Telephone | 228-875-3606
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Fax | 228-875-3687
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATHLEEN C ARNOLD
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Credential | A.N.P.
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Telephone | 228-875-3606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R854239
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License Number State | MS
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