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General NPI Number Information
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NPI Number | 1124814967
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Entity Type | Organization
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Legal Business Name | CARECIRCLE FAMILY HEALTH CLINIC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 563 COLONIAL DR
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City | BATON ROUGE
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State | LA
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Zip | 70806-6508
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Country | US
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Telephone | 228-365-2363
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Fax |
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Provider Business Mailing Address
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Address Line | 563 COLONIAL DR
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City | BATON ROUGE
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State | LA
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Zip | 70806-6508
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Country | US
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Telephone | 228-365-2363
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY MCCRARY
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Credential |
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Telephone | 228-365-2363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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