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General NPI Number Information
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NPI Number | 1518575182
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Entity Type | Individual
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Provider Name | JOANNE LACOSTE APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 931 MYRTLE CREEK DR
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City | LA PORTE
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State | TX
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Zip | 77571-2767
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Country | US
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Telephone | 281-914-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 HOLLAND ST
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City | HOUSTON
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State | TX
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Zip | 77029-2848
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Country | US
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Telephone | 713-330-8300
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Fax | 713-330-8305
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP143719
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License Number State | TX
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