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General NPI Number Information
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NPI Number | 1649516261
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Entity Type | Organization
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Legal Business Name | PRACTICARE, LLC
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Dates
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Enumeration Date | 12/31/2012
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 7406 HIGHWAY 1 STE 103
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City | MANSURA
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State | LA
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Zip | 71350-4230
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Country | US
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Telephone | 318-739-0086
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Fax | 877-325-2708
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Provider Business Mailing Address
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Address Line | 1102 HIGHWAY 107 S
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City | COTTONPORT
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State | LA
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Zip | 71327-4002
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Country | US
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Telephone | 318-739-0086
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Fax | 778-325-2708
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Authorized Official
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Title or Position | OWNER
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Name | JULIE P DUCOTE
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Credential | NP
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Telephone | 318-739-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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