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General NPI Number Information
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NPI Number | 1629947528
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Entity Type | Organization
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Legal Business Name | OBEDDOC PLLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1030 RIVER OAKS DR
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City | FLOWOOD
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State | MS
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Zip | 39232-9553
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Country | US
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Telephone | 601-813-3404
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Fax | 601-709-2452
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Provider Business Mailing Address
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Address Line | 1050 RIVER OAKS DR STE 200
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City | FLOWOOD
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State | MS
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Zip | 39232-9564
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Country | US
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Telephone | 601-954-5151
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Fax | 601-709-2452
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID IRA WADDELL
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Credential | MD
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Telephone | 601-954-5151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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