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General NPI Number Information
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NPI Number | 1477983062
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Entity Type | Organization
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Legal Business Name | HEALTHCARE DIMENSIONS LLC
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 226 LOUISIANA AVE
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City | OPELOUSAS
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State | LA
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Zip | 70570-3346
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Country | US
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Telephone | 337-678-1630
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Fax | 337-678-1635
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Provider Business Mailing Address
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Address Line | 226 LOUISIANA AVE
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City | OPELOUSAS
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State | LA
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Zip | 70570-3346
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Country | US
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Telephone | 337-678-1630
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Fax | 337-678-1635
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | DR. PAMELA JACKSON
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Credential | DNP
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Telephone | 337-678-1630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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