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General NPI Number Information
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NPI Number | 1386196277
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Entity Type | Individual
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Provider Name | KELLY DAY N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 200 GOLF COURSE DR STE M
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City | CARRIERE
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State | MS
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Zip | 39426-9037
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Country | US
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Telephone | 769-242-3185
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Fax | 769-242-0099
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Provider Business Mailing Address
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Address Line | 200 GOLF COURSE DR STE M
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City | CARRIERE
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State | MS
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Zip | 39426-9037
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Country | US
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Telephone | 769-242-3185
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Fax | 769-242-0099
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 901599
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License Number State | MS
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