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General NPI Number Information
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NPI Number | 1588153738
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Entity Type | Organization
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Legal Business Name | ESSENTIAL FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 1902 STUBBS AVE
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City | MONROE
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State | LA
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Zip | 71201-5730
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Country | US
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Telephone | 318-367-2236
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Fax | 318-329-1175
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Provider Business Mailing Address
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Address Line | 309 CANEY RIDGE RD
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City | MONROE
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State | LA
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Zip | 71203-9645
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Country | US
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Telephone | 318-267-7984
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | BRANDEE YARBROUGH
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Credential | APRN, FNP
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Telephone | 318-267-7984
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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 | AP08209
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License Number State | LA
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