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General NPI Number Information
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NPI Number | 1619751641
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Entity Type | Individual
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Provider Name | JANA LATUSO ROZIER
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 7575 JEFFERSON HWY
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City | BATON ROUGE
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State | LA
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Zip | 70806-8308
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Country | US
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Telephone | 225-456-2620
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Fax |
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Provider Business Mailing Address
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Address Line | 45261 OLIVER RD
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City | SAINT AMANT
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State | LA
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Zip | 70774-4111
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Country | US
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Telephone |
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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 | 234539
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN158794
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License Number State | LA
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