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General NPI Number Information
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NPI Number | 1275706574
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Entity Type | Organization
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Legal Business Name | JANICE R. PHARR, MD, LLC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 1825 N 18TH ST SUITE A
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City | MONROE
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State | LA
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Zip | 71201-4401
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Country | US
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Telephone | 318-323-0362
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Fax | 318-323-0567
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Provider Business Mailing Address
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Address Line | 1825 N 18TH ST SUITE A
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City | MONROE
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State | LA
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Zip | 71201-4401
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Country | US
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Telephone | 318-323-0362
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Fax | 318-323-0567
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. JANICE ROSE PHARR
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Credential | MD
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Telephone | 318-323-0362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD015992
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License Number State | LA
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