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General NPI Number Information
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NPI Number | 1619441250
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Entity Type | Individual
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Provider Name | ALICIA GUILLOT WINBORN APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 19065 DR JOHN LAMBERT DR STE 1100
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City | HAMMOND
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State | LA
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Zip | 70403-0998
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Country | US
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Telephone | 985-222-5577
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Fax |
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Provider Business Mailing Address
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Address Line | 24236 SNOWY EGRET CV
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City | SPRINGFIELD
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State | LA
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Zip | 70462-8095
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Country | US
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Telephone | 504-818-8548
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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 | 203076
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License Number State | LA
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