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General NPI Number Information
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NPI Number | 1174927685
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Entity Type | Organization
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Legal Business Name | UNIQUE HEALTHCARE OPTIONS
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 5120 GROOM RD
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City | BAKER
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State | LA
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Zip | 70714-3124
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Country | US
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Telephone | 225-774-1077
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Fax | 225-774-1078
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Provider Business Mailing Address
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Address Line | 5120 GROOM RD
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City | BAKER
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State | LA
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Zip | 70714-3124
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Country | US
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Telephone | 225-341-0478
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ANNISA LEACHMAN TAYLOR
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Credential | DNP
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Telephone | 225-341-0478
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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 | AP05937
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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