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General NPI Number Information
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NPI Number | 1245106459
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Entity Type | Organization
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Legal Business Name | WILDFLOWER PEDIATRICS LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 118 W 14TH ST
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City | CROWLEY
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State | LA
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Zip | 70526-2802
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Country | US
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Telephone | 225-892-6178
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Fax |
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Provider Business Mailing Address
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Address Line | 118 W 14TH ST
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City | CROWLEY
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State | LA
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Zip | 70526-2802
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Country | US
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Telephone | 337-514-2400
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Fax | 337-514-4718
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Authorized Official
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Title or Position | OWNER/ NURSE PRACTITIONER
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Name | MRS. DIANE CHAPMAN
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Credential | CPNP
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Telephone | 225-892-6178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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