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General NPI Number Information
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NPI Number | 1215501283
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Entity Type | Organization
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Legal Business Name | TOETAL CARE CLINIC
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 161 CHRISTIAN DR
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City | RAYVILLE
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State | LA
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Zip | 71269-3658
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Country | US
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Telephone | 318-237-6885
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Fax |
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Provider Business Mailing Address
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Address Line | 161 CHRISTIAN DR
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City | RAYVILLE
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State | LA
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Zip | 71269-3658
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Country | US
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Telephone | 318-661-3030
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Fax | 318-661-3032
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER/OWNER
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Name | ANGELA CLARK GILL
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Credential | FNP-C
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Telephone | 318-661-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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