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General NPI Number Information
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NPI Number | 1063960433
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Entity Type | Individual
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Provider Name | EMILY FUSILIER FNP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 4626 SHERWOOD COMMON BLVD STE 402
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City | BATON ROUGE
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State | LA
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Zip | 70816-5029
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Country | US
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Telephone | 252-392-7088
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Fax | 225-239-7089
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Provider Business Mailing Address
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Address Line | 18590 MANCHAC HIGHLANDS DR
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-3049
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Country | US
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Telephone | 225-938-2849
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 08839
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 08839
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License Number State | LA
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