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General NPI Number Information
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NPI Number | 1023113784
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Entity Type | Individual
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Provider Name | DEBRA JOYCE BAGGETT-WOODARD FNP-BC, PNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 926 FRANCES DR
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City | HAYNESVILLE
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State | LA
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Zip | 71038-6100
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Country | US
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Telephone | 318-624-0554
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Fax | 318-624-3782
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Provider Business Mailing Address
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Address Line | 1355 HARMON LOOP
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City | HOMER
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State | LA
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Zip | 71040-5815
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Country | US
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Telephone | 318-927-2306
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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 | RN097166 AP03441
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License Number State | LA
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