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General NPI Number Information
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NPI Number | 1346779824
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Entity Type | Organization
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Legal Business Name | KIDS AND TUMMIES LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 401 COWAN RD STE B
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City | GULFPORT
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State | MS
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Zip | 39507-2022
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Country | US
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Telephone | 228-222-4072
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Fax | 222-215-1205
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Provider Business Mailing Address
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Address Line | 401 COWAN RD STE B
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City | GULFPORT
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State | MS
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Zip | 39507-2022
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Country | US
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Telephone | 228-222-4072
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Fax | 222-215-1205
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Authorized Official
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Title or Position | OWNER
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Name | APRIL ULMER
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Credential | MD
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Telephone | 228-222-4072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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