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General NPI Number Information
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NPI Number | 1134178262
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Entity Type | Individual
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Provider Name | CHRISTIE DEVLIN-SCHROLL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/22/2018
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Provider Practice Location Address
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Address Line | 8950 LORRAINE RD
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City | GULFPORT
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State | MS
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Zip | 39503-4177
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Country | US
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Telephone | 601-815-2005
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Fax | 601-815-0434
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Provider Business Mailing Address
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Address Line | PO BOX 1810
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City | GULFPORT
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State | MS
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Zip | 39502-1810
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Country | US
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Telephone | 228-826-9028
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Fax | 228-826-9028
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 18729
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License Number State | MS
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