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General NPI Number Information
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NPI Number | 1063235794
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Entity Type | Organization
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Legal Business Name | SEGURA PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 59100 INDUSTRIAL BLVD
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City | PLAQUEMINE
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State | LA
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Zip | 70764-5275
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Country | US
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Telephone | 225-687-5990
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Fax | 225-685-6852
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Provider Business Mailing Address
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Address Line | 39453 OCEANVIEW AVE
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-4596
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Country | US
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Telephone | 337-540-9838
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KRISTIN SEGURA
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Credential | APRN, PMHNP
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Telephone | 337-540-9838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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