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General NPI Number Information
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NPI Number | 1720900459
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL AT GULFPORT
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 9000 LORRAINE RD STE A
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City | GULFPORT
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State | MS
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Zip | 39503-6101
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Country | US
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Telephone | 228-864-2121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1810
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City | GULFPORT
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State | MS
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Zip | 39502-1810
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Country | US
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Telephone | 228-867-4000
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Fax |
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Authorized Official
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Title or Position | MANAGER, PAYER ENROLLMENT
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Name | MRS. DANIELLE LYONS
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Credential |
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Telephone | 228-822-6086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number |
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License Number State |
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