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General NPI Number Information
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NPI Number | 1992236715
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Entity Type | Individual
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Provider Name | DAKOTA KING MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 830 S GLOSTER ST
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City | TUPELO
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State | MS
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Zip | 38801-4934
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Country | US
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Telephone | 662-377-7170
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Fax | 662-377-7180
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Provider Business Mailing Address
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Address Line | 808 VARSITY DR
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City | TUPELO
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State | MS
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Zip | 38801-4613
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Country | US
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Telephone | 662-377-3204
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Fax | 662-377-2057
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 35467
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License Number State | MS
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