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General NPI Number Information
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NPI Number | 1184448052
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Entity Type | Individual
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Provider Name | KATHRYN MARIE GIFT RN
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Gender | Female
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 400 VETERANS AVE
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City | BILOXI
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State | MS
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Zip | 39531-2410
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Country | US
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Telephone | 228-523-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 317 SAINT JOHN ST
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City | BAY SAINT LOUIS
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State | MS
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Zip | 39520-4401
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Country | US
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Telephone | 228-363-2057
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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 | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number | 873862
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License Number State | MS
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