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General NPI Number Information
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NPI Number | 1326742917
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Entity Type | Organization
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Legal Business Name | FRANKLINTON RURAL HEALTH CLINIC LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 2219 MAIN ST
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City | FRANKLINTON
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State | LA
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Zip | 70438-3604
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Country | US
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Telephone | 985-634-3050
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Fax | 877-602-0163
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Provider Business Mailing Address
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Address Line | 217 CHEROKEE ROSE LN
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City | COVINGTON
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State | LA
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Zip | 70433-7201
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Country | US
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Telephone | 985-634-3050
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CARRIE HARRISON
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Credential |
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Telephone | 985-634-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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