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General NPI Number Information
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NPI Number | 1902832207
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Entity Type | Organization
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Legal Business Name | REGIONAL DIGESTIVE SPECIALISTS P.C.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 1270 OCEAN SPRINGS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3421
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Country | US
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Telephone | 228-875-3033
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Fax | 228-875-3989
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Provider Business Mailing Address
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Address Line | 4511 HOSPITAL ST
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City | PASCAGOULA
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State | MS
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Zip | 39581-5336
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Country | US
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Telephone | 228-769-7791
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Fax | 228-769-7747
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NANCY E TIERCE
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Credential |
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Telephone | 228-875-3033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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