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General NPI Number Information
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NPI Number | 1629252069
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Entity Type | Organization
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Legal Business Name | ANOINTED FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 23845 CHURCH ST
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City | PLAQUEMINE
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State | LA
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Zip | 70764-3307
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Country | US
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Telephone | 225-687-2828
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Fax | 225-687-2885
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Provider Business Mailing Address
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Address Line | 23845 CHURCH ST
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City | PLAQUEMINE
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State | LA
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Zip | 70764-3307
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Country | US
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Telephone | 225-687-2828
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Fax | 225-687-2885
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA B BROWN
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Credential | M.D.
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Telephone | 225-687-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 022559
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License Number State | LA
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