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General NPI Number Information
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NPI Number | 1295001477
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Entity Type | Individual
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Provider Name | RICKI LACOSTE LINARELLO NP
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Gender | Female
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Dates
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Enumeration Date | 04/01/2012
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 2120 DRIFTWOOD BLVD.
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City | KENNER
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State | LA
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Zip | 70065
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Country | US
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Telephone | 985-892-8934
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Fax |
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Provider Business Mailing Address
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Address Line | 50 LOUIS PRIMA DR
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City | COVINGTON
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State | LA
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Zip | 70433-5903
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Country | US
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Telephone | 985-892-8934
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP06801
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License Number State | LA
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