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General NPI Number Information
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NPI Number | 1366389884
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Entity Type | Organization
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Legal Business Name | VIRTUAL CARE REMEDY, PLLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 296 BEAUVOIR RD STE 100-1017
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City | BILOXI
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State | MS
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Zip | 39531-4051
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Country | US
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Telephone | 888-296-8318
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Fax |
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Provider Business Mailing Address
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Address Line | 296 BEAUVOIR RD STE 100-1017
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City | BILOXI
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State | MS
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Zip | 39531-4051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRACLE RUSSHELL WOODARD
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Credential | FNP-BC
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Telephone | 888-296-8318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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