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General NPI Number Information
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NPI Number | 1235033093
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Entity Type | Organization
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Legal Business Name | NRMC PHYSICIAN IPA INC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 501 KEYSER AVENUE
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-214-4200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2009
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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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 | CEO
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Name | DAMIAN KIRK SOILEAU
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Credential |
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Telephone | 318-214-4512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | NULL
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