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General NPI Number Information
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NPI Number | 1780723502
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Entity Type | Organization
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Legal Business Name | PICAYUNE URGENT CARE CLINIC, LLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 422 MEMORIAL BLVD
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City | PICAYUNE
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State | MS
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Zip | 39466-5544
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Country | US
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Telephone | 601-798-2151
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Fax | 601-798-2184
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Provider Business Mailing Address
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Address Line | 422 MEMORIAL BLVD
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City | PICAYUNE
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State | MS
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Zip | 39466-5544
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Country | US
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Telephone | 601-798-2151
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Fax | 601-798-2184
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Authorized Official
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Title or Position | COO
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Name | BRIANNE WHITNEY
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Credential |
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Telephone | 707-319-5068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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