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General NPI Number Information
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NPI Number | 1205706488
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Entity Type | Organization
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Legal Business Name | EMD PRIMARY CARE LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1011 CHINABERRY DR STE 200
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2438
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Country | US
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Telephone | 318-392-3372
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 CHINABERRY DR STE 200
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City | BOSSIER CITY
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State | LA
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Zip | 71111-2438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH MONSOUR JR.
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Credential |
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Telephone | 318-250-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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