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General NPI Number Information
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NPI Number | 1487391462
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Entity Type | Organization
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Legal Business Name | MISS LOU FAMILY HEALTH, INC
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 1648 CARTER ST STE 2
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City | VIDALIA
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State | LA
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Zip | 71373-3111
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Country | US
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Telephone | 318-414-2315
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Fax | 318-414-2286
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Provider Business Mailing Address
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Address Line | 1648 CARTER ST STE 2
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City | VIDALIA
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State | LA
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Zip | 71373-3111
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Country | US
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Telephone | 318-414-2315
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Fax | 318-414-2286
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Authorized Official
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Title or Position | OWNER
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Name | DONNAH B BARLOW
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Credential | NP
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Telephone | 318-414-2315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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