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General NPI Number Information
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NPI Number | 1003776329
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Entity Type | Individual
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Provider Name | DEANN CARPENTER
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 690 SAN ANTONIO AVE
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City | MANY
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State | LA
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Zip | 71449-3015
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Country | US
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Telephone | 318-256-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 194 RAY CARPENTER RD
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City | NATCHITOCHES
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State | LA
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Zip | 71457-7734
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Country | US
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Telephone | 318-951-3483
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | LA
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