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General NPI Number Information
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NPI Number | 1205649266
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Entity Type | Individual
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Provider Name | DYLAN CAIN DUPLANTIS RNFA
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Gender | Male
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 524 DR MICHAEL DEBAKEY DR
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City | LAKE CHARLES
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State | LA
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Zip | 70601-5725
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Country | US
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Telephone | 337-436-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 HAUSER RD
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City | DERIDDER
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State | LA
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Zip | 70634-7842
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Country | US
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Telephone | 337-496-8998
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Fax |
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN145212
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License Number State | LA
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