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General NPI Number Information
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NPI Number | 1962286344
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Entity Type | Individual
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Provider Name | DEBORAH FORE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 3890 BIENVILLE BLVD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-5803
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Country | US
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Telephone | 228-872-7600
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Fax | 228-875-3385
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Provider Business Mailing Address
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Address Line | 34 STONE FORREST TRL
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City | MC HENRY
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State | MS
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Zip | 39561-5201
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Country | US
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Telephone | 228-669-1418
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 906070
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License Number State | MS
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