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General NPI Number Information
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NPI Number | 1114395050
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Entity Type | Individual
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Provider Name | CHRISTINA POOLE
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Gender | Female
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 900 STARK RD
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City | STARKVILLE
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State | MS
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Zip | 39759-3613
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Country | US
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Telephone | 662-268-6278
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Fax | 833-973-4133
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Provider Business Mailing Address
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Address Line | 900 STARK RD
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City | STARKVILLE
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State | MS
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Zip | 39759-3613
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Country | US
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Telephone | 662-268-6278
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Fax | 833-973-4133
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R863732
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License Number State | MS
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