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General NPI Number Information
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NPI Number | 1306776166
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Entity Type | Individual
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Provider Name | KARLI NICOLE AUGUSTINE
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Gender | Female
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 258 ARCENEAUX RD
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City | CARENCRO
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State | LA
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Zip | 70520-6220
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Country | US
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Telephone | 337-896-3267
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Fax |
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Provider Business Mailing Address
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Address Line | 152 KINGSPOINTE CIR
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City | LAFAYETTE
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State | LA
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Zip | 70508-4233
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Country | US
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Telephone | 318-290-9052
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | LA7777
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License Number State | LA
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