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General NPI Number Information
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NPI Number | 1578243572
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Entity Type | Individual
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Provider Name | PAULA MCDONALD FNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 714 N PINE AVE
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City | HEIDELBERG
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State | MS
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Zip | 39439-3290
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Country | US
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Telephone | 601-787-2601
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Fax | 601-787-4283
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Provider Business Mailing Address
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Address Line | 313 COUNTY ROAD 52832
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City | HEIDELBERG
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State | MS
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Zip | 39439-3539
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Country | US
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Telephone | 601-342-1310
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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 | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number | 905702
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License Number State | MS
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