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NPI 1780074518

NPI 1780074518 : COURTNEY R TRIPLETT RN : BILOXI, MS

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General NPI Number Information
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    NPI Number           |    1780074518
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    Entity Type          |    Individual 
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    Provider Name        |    COURTNEY R TRIPLETT RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2015
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    Last Update Date     |    04/14/2023
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Provider Practice Location Address
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    Address Line         |    770 WATER ST STE 435 
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    City                 |    BILOXI
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    State                |    MS
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    Zip                  |    39530-4220
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    Country              |    US
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    Telephone            |    228-355-2735
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    770 WATER ST STE 435 
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    City                 |    BILOXI
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    State                |    MS
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    Zip                  |    39530-4220
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    Country              |    US
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    Telephone            |    228-355-2735
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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        |    163WC1600X
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    Taxonomy Name        |    Continuing Education/Staff Development Registered Nurse
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    License Number       |    915770
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    163WD0400X
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    Taxonomy Name        |    Diabetes Educator Registered Nurse
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    License Number       |    915770
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    License Number State |    MS
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Taxonomy #3
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    Taxonomy Code        |    163WM0705X
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    Taxonomy Name        |    Medical-Surgical Registered Nurse
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    License Number       |    915770
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    License Number State |    MS
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Taxonomy #4
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    Taxonomy Code        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    319080-31
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    License Number State |    WI
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Taxonomy #5
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    915770
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    License Number State |    MS
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