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General NPI Number Information
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NPI Number | 1124394309
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Entity Type | Individual
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Provider Name | NICOLE BROOKE BABIN APRN, ANP
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Gender | Female
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Dates
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Enumeration Date | 04/01/2012
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 50 PINECREST DR
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City | PINEVILLE
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State | LA
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Zip | 71360-4283
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Country | US
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Telephone | 318-640-9656
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Fax |
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Provider Business Mailing Address
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Address Line | 123 SAINT ABIGAIL LN
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City | WOODWORTH
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State | LA
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Zip | 71485-4703
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Country | US
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Telephone | 318-308-6555
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP06097
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License Number State | LA
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