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General NPI Number Information
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NPI Number | 1518845197
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 29285 S RANGE RD RM 808
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City | LIVINGSTON
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State | LA
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Zip | 70754
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Country | US
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Telephone | 225-683-5292
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Fax | 225-683-1310
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Provider Business Mailing Address
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Address Line | PO BOX 395
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City | CLINTON
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State | LA
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Zip | 70722-0395
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Country | US
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Telephone | 225-683-5292
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Fax | 225-683-1310
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Authorized Official
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Title or Position | CEO
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Name | CHRISTI C HUNT
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Credential |
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Telephone | 225-683-5292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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