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General NPI Number Information
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NPI Number | 1639092075
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Entity Type | Individual
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Provider Name | EMILEY PAIGE PRATT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 211 MEDICAL DR
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City | NATCHITOCHES
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State | LA
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Zip | 71457-6052
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Country | US
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Telephone | 318-310-7950
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Fax |
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Provider Business Mailing Address
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Address Line | 339 OLD CAMP RD
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City | CONVERSE
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State | LA
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Zip | 71419-3294
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Country | US
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Telephone | 318-415-8246
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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 | 202563
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License Number State | LA
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