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General NPI Number Information
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NPI Number | 1730718594
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Entity Type | Organization
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Legal Business Name | MINDEN PHYSICIAN PRACTICES LLC
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 346 HOMER RD
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City | MINDEN
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State | LA
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Zip | 71055-2834
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Country | US
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Telephone | 318-553-5430
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Fax | 833-642-0813
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Provider Business Mailing Address
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Address Line | 504 TEXAS ST STE 200
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City | SHREVEPORT
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State | LA
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Zip | 71101-3526
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Country | US
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Telephone | 318-553-5430
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Fax | 833-642-0813
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Authorized Official
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Title or Position | DIRECTOR OF CLINIC OPERATIONS
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Name | BRITTANEY L HIPPLER
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Credential |
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Telephone | 318-315-7093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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