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General NPI Number Information
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NPI Number | 1629778063
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Entity Type | Organization
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Legal Business Name | FIRST COMMUNITY HEALTH INC
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 4113 WILLIAMS BLVD
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City | KENNER
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State | LA
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Zip | 70065-2202
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Country | US
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Telephone | 732-979-5365
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Fax |
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Provider Business Mailing Address
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Address Line | 4113 WILLIAMS BLVD
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City | KENNER
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State | LA
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Zip | 70065-2202
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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 | SECRETARY
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Name | SYMA MIRZA
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Credential |
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Telephone | 732-979-5365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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