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General NPI Number Information
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NPI Number | 1154245611
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Entity Type | Organization
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Legal Business Name | MAGNOLIA FAMILY MEDICINE AND WELLNESS CENTER
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 7197 US HIGHWAY 61
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City | SAINT FRANCISVILLE
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State | LA
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Zip | 70775-4541
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Country | US
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Telephone | 225-245-5040
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Fax | 844-273-2191
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Provider Business Mailing Address
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Address Line | PO BOX 2162
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City | SAINT FRANCISVILLE
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State | LA
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Zip | 70775-2162
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Country | US
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Telephone | 225-718-9525
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Fax | 225-718-9525
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Authorized Official
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Title or Position | CEO
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Name | ANGELA ANDERS LANDRY
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Credential | LCSW-BACS
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Telephone | 225-718-9525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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