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General NPI Number Information
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NPI Number | 1215649132
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Entity Type | Individual
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Provider Name | JESSICA LINDQUIST FRANQUES PA
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Gender | Female
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1500 LINE AVE
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City | SHREVEPORT
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State | LA
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Zip | 71101-4639
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Country | US
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Telephone | 318-596-9422
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Fax |
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Provider Business Mailing Address
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Address Line | 147 WAVERLY CIR
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City | EL DORADO
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State | AR
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Zip | 71730-7648
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Country | US
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Telephone | 318-573-9491
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-1156
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 335429
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License Number State | LA
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