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General NPI Number Information
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NPI Number | 1356377097
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Entity Type | Organization
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Legal Business Name | WELSH FAMILY PRACTICE CLINIC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 308 PALMER ST
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City | WELSH
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State | LA
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Zip | 70591-4320
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Country | US
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Telephone | 337-734-4901
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Fax | 337-734-4338
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Provider Business Mailing Address
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Address Line | 308 PALMER ST P.O. BOX 605
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City | WELSH
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State | LA
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Zip | 70591-4320
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Country | US
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Telephone | 337-734-4901
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Fax | 337-734-4338
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Authorized Official
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Title or Position | OFFICE MANAAGER
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Name | PATRICIA BERTRAND
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Credential |
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Telephone | 337-734-4901
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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 |
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