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General NPI Number Information
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NPI Number | 1356299176
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Entity Type | Organization
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Legal Business Name | CAREDOC BH LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 11150 HIGHWAY 49
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City | GULFPORT
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State | MS
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Zip | 39503-4110
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Country | US
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Telephone | 228-831-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2194 HARMANSON VUE
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City | BILOXI
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State | MS
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Zip | 39531-5273
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Country | US
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Telephone | 228-236-3872
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Fax | 228-351-0090
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Authorized Official
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Title or Position | DIRECTOR
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Name | ADDISON SWEEBE
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Credential |
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Telephone | 228-806-8914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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