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NPI 1528687233

NPI 1528687233 : NUSRAT KABIR MD : LAKE CHARLES, LA

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General NPI Number Information
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    NPI Number           |    1528687233
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    Entity Type          |    Individual 
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    Provider Name        |    NUSRAT KABIR MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/13/2020
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    2750 ASTER ST 
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    City                 |    LAKE CHARLES
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    State                |    LA
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    Zip                  |    70601-8824
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    Country              |    US
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    Telephone            |    337-480-8900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 122539 DEPT 2539 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75312-0001
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    Country              |    US
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    Telephone            |    337-494-2921
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    Fax                  |    
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    2083A0300X
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    Taxonomy Name        |    Addiction Medicine (Preventive Medicine) Physician
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    License Number       |    342960
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    License Number State |    LA
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