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General NPI Number Information
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NPI Number | 1023984275
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Entity Type | Organization
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Legal Business Name | NEW CREATION WELLNESS LLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1921 KALISTE SALOOM RD STE 117
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City | LAFAYETTE
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State | LA
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Zip | 70508-6183
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Country | US
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Telephone | 337-280-3103
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Fax |
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Provider Business Mailing Address
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Address Line | 182 ATLAS RD
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5257
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Country | US
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Telephone | 337-208-3103
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | MADELYN DOOLEY
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Credential | FNP-C
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Telephone | 337-280-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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