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General NPI Number Information
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NPI Number | 1700616661
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Entity Type | Organization
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Legal Business Name | FRANKLINTON FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 810 RIVERSIDE DR
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City | FRANKLINTON
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State | LA
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Zip | 70438-3634
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Country | US
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Telephone | 985-289-7139
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Fax | 985-289-1640
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Provider Business Mailing Address
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Address Line | 810 RIVERSIDE DR
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City | FRANKLINTON
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State | LA
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Zip | 70438-3634
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Country | US
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Telephone | 985-289-7139
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Fax | 985-289-1640
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA GROSS
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Credential |
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Telephone | 985-606-2273
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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 |
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License Number State |
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