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General NPI Number Information
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NPI Number | 1699666362
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Entity Type | Organization
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Legal Business Name | FIRMIN FAMILY HEALTH CLINICS LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 16104 HIGHWAY 1
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City | SIMMESPORT
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State | LA
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Zip | 71369
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Country | US
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Telephone | 318-943-0104
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Fax | 318-943-0109
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Provider Business Mailing Address
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Address Line | PO BOX 650
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City | SIMMESPORT
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State | LA
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Zip | 71369-0650
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Country | US
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Telephone | 318-943-0104
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Fax | 318-943-0109
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Authorized Official
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Title or Position | CEO
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Name | CRYSTAL G FIRMIN
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Credential | FNP
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Telephone | 318-943-0104
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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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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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