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General NPI Number Information
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NPI Number | 1972460152
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Entity Type | Individual
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Provider Name | BROOKE E MACDONALD MSN
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 7100 U S HIGHWAY 98 STE 210
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City | HATTIESBURG
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State | MS
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Zip | 39402-8557
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Country | US
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Telephone | 601-545-7021
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Fax | 601-545-6978
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Provider Business Mailing Address
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Address Line | PO BOX 649113
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City | DALLAS
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State | TX
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Zip | 75264-9113
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Country | US
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Telephone | 601-545-7021
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Fax | 601-545-6978
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 914709
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License Number State | MS
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