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General NPI Number Information
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NPI Number | 1174613947
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Entity Type | Individual
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Provider Name | VERONICA LYNN RICKS FNP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1204 S MORRISON BLVD SUITE B
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City | HAMMOND
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State | LA
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Zip | 70403-5702
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Country | US
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Telephone | 985-419-9939
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Fax | 985-419-7067
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Provider Business Mailing Address
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Address Line | 1905 W THOMAS ST SUITE D #356
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City | HAMMOND
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State | LA
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Zip | 70401-2901
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Country | US
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Telephone | 985-419-9939
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Fax | 985-419-7067
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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 | AP05057
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License Number State | LA
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