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General NPI Number Information
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NPI Number | 1336343805
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Entity Type | Organization
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Legal Business Name | NINA RAVEY AND ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 711 N MAIN ST
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City | JENNINGS
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State | LA
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Zip | 70546-5311
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Country | US
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Telephone | 337-824-2078
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Fax | 337-824-2004
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Provider Business Mailing Address
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Address Line | 711 N MAIN ST
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City | JENNINGS
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State | LA
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Zip | 70546-5311
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Country | US
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Telephone | 337-824-2078
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Fax | 337-824-2004
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NINA RAVEY
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Credential | MSN,RN,CNS,C-FNP,APR
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Telephone | 337-824-2078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | LA
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