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General NPI Number Information
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NPI Number | 1467309013
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Entity Type | Organization
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Legal Business Name | COMMUNITY FIRST PRIMARY CARE LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1680 BENTON LN
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4516
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Country | US
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Telephone | 225-421-6704
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Fax |
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Provider Business Mailing Address
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Address Line | 30940 DUNN RD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-1565
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KRISTIN MANUEL
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Credential | APRN, FNP
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Telephone | 225-421-6704
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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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