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General NPI Number Information
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NPI Number | 1003783770
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Entity Type | Organization
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Legal Business Name | PROHEALTH MONROE, LLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 1721 CHARTRES CIR
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City | MONROE
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State | LA
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Zip | 71201-3671
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Country | US
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Telephone | 318-537-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 CHARTRES CIR
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City | MONROE
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State | LA
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Zip | 71201-3671
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Country | US
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Telephone | 318-537-3056
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | KANDICE NICOLE HUNTER
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Credential | AGNP-C, FNP-C
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Telephone | 318-537-3056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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