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General NPI Number Information
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NPI Number | 1760859896
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Entity Type | Individual
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Provider Name | AMBER THRASH CREEL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 51704 HIGHWAY 438
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City | FRANKLINTON
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State | LA
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Zip | 70438-7488
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Country | US
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Telephone | 985-848-9955
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Fax | 985-848-9964
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Provider Business Mailing Address
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Address Line | 1900 MAIN ST
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City | FRANKLINTON
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State | LA
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Zip | 70438-3688
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Country | US
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Telephone | 985-848-9955
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Fax | 985-848-9964
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP08499
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License Number State | LA
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