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General NPI Number Information
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NPI Number | 1598171241
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Entity Type | Individual
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Provider Name | MICHAEL PATRICK ENGLAND FNP
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Gender | Male
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 108 6TH AVE
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City | KINDER
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State | LA
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Zip | 70648
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Country | US
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Telephone | 337-738-9494
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Fax | 337-738-9449
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Provider Business Mailing Address
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Address Line | 1628 DEERFIELD DR
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City | LAKE CHARLES
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State | LA
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Zip | 70611-3753
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Country | US
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Telephone | 337-499-6369
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07913
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License Number State | LA
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