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General NPI Number Information
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NPI Number | 1497193528
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Entity Type | Individual
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Provider Name | CORA R CHENEVERT MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 501 FRONT STREET
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City | CHENEYVILLE
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State | LA
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Zip | 71325
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Country | US
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Telephone | 318-279-2300
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Fax | 318-279-2302
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Provider Business Mailing Address
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Address Line | PO BOX 385
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City | CHENEYVILLE
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State | LA
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Zip | 71325-0385
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Country | US
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Telephone | 318-279-2300
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Fax | 318-279-2302
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 133857
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License Number State | LA
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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 | APO7392
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License Number State | LA
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