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General NPI Number Information
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NPI Number | 1114871357
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Entity Type | Organization
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Legal Business Name | KING'S DAUGHTERS OB-GYN CLINIC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 1012 D A BIGLANE DR
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City | BROOKHAVEN
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State | MS
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Zip | 39601-2331
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Country | US
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Telephone | 601-833-8157
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Fax | 601-833-1633
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Provider Business Mailing Address
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Address Line | 1012 D A BIGLANE DR
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City | BROOKHAVEN
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State | MS
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Zip | 39601-2331
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Country | US
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Telephone | 601-833-8157
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Fax | 601-833-1633
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Authorized Official
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Title or Position | CEO
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Name | MR. SCOTT CHRISTENSEN
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Credential |
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Telephone | 601-833-6011
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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 |
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License Number State |
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