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General NPI Number Information
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NPI Number | 1700723533
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Entity Type | Individual
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Provider Name | STACEY LEE REMBERT BSN
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 6400 PERKINS RD
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City | BATON ROUGE
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State | LA
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Zip | 70808-4124
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Country | US
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Telephone | 225-330-0497
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Fax | 225-374-7466
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Provider Business Mailing Address
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Address Line | 609 SAINT FRANCIS PKWY APT 6201
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City | GONZALES
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State | LA
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Zip | 70737-6496
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Country | US
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Telephone | 504-290-9866
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Fax | 504-290-9866
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 118543
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License Number State | LA
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