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General NPI Number Information
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NPI Number | 1306889092
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Entity Type | Organization
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Legal Business Name | ACS PRIMARY CARE PHYSICIANS LOUISIANA PC
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 211 4TH ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8421
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Country | US
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Telephone | 318-473-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 634703
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City | CINCINNATI
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State | OH
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Zip | 45263-4703
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Country | US
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Telephone | 800-424-3672
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Fax | 954-377-3042
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HINDA MARSHA GREEN
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Credential | DO
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Telephone | 800-424-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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