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General NPI Number Information
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NPI Number | 1043573942
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Entity Type | Organization
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Legal Business Name | YOUNGSVILLE FAMILY HEALTHCARE
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Dates
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Enumeration Date | 06/17/2012
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 3215 E MILTON AVE SUITE 8
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5546
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Country | US
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Telephone | 337-857-6657
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Fax | 337-857-6658
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Provider Business Mailing Address
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Address Line | 3215 E MILTON AVE STE 8
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5546
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Country | US
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Telephone | 337-857-6657
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Fax | 337-857-6658
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NATALIE BLANCHARD
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Credential | NP
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Telephone | 337-857-6657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AP03677
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License Number State |
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