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NPI 1407781768

NPI 1407781768 : LITTLE ITALY FAMILY PRACTICE : INDEPENDENCE, LA

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General NPI Number Information
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    NPI Number           |    1407781768
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    Entity Type          |    Organization 
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    Legal Business Name  |    LITTLE ITALY FAMILY PRACTICE 
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Dates
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    Enumeration Date     |    06/16/2026
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    Last Update Date     |    06/17/2026
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Provider Practice Location Address
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    Address Line         |    312 E RAILROAD AVE 
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    City                 |    INDEPENDENCE
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    State                |    LA
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    Zip                  |    70443-2710
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    Country              |    US
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    Telephone            |    985-878-4183
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    312 E RAILROAD AVE 
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    City                 |    INDEPENDENCE
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    State                |    LA
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    Zip                  |    70443-2710
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    Country              |    US
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    Telephone            |    985-878-4183
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MALAINA  SIBLEY 
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    Credential           |    FNP
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    Telephone            |    985-351-0450
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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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