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General NPI Number Information
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NPI Number | 1194729657
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Entity Type | Individual
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Provider Name | AMELIE ANNE HOLLIER NP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 W SAINT MARY BLVD STE 416
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City | LAFAYETTE
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State | LA
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Zip | 70506-4600
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Country | US
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Telephone | 337-289-4746
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Fax | 337-289-2226
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Provider Business Mailing Address
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Address Line | 103 DARWIN CIR
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City | LAFAYETTE
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State | LA
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Zip | 70508-7110
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Country | US
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Telephone | 337-289-4746
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Fax | 337-289-2226
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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 |
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License Number State | LA
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