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General NPI Number Information
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NPI Number | 1073660114
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Entity Type | Individual
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Provider Name | NORANN Y. PLANCHOCK PHD, APRN, BC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1233 SPRAGUE STREET MARTIN LUTHER KING HEALTH CENTER
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City | SHREVEPORT
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State | LA
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Zip | 71101
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Country | US
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Telephone | 318-227-2912
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Fax |
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Provider Business Mailing Address
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Address Line | 10029 THORNWOOD DR
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City | SHREVEPORT
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State | LA
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Zip | 71106-7648
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Country | US
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Telephone | 318-798-3845
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Fax | 318-677-3127
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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 | RN037722-AP01172
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License Number State | LA
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