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General NPI Number Information
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NPI Number | 1730821851
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Entity Type | Individual
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Provider Name | TAMMY JO GALE MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2022
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 3702 JEFFERSON AVE
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City | MOSS POINT
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State | MS
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Zip | 39563-6218
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Country | US
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Telephone | 228-641-1674
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Fax | 228-205-4593
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Provider Business Mailing Address
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Address Line | 3702 JEFFERSON AVE
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City | MOSS POINT
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State | MS
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Zip | 39563-6218
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Country | US
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Telephone | 228-641-1674
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Fax | 228-205-4593
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-117391
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 907153
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License Number State | MS
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