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NPI 1780881466

NPI 1780881466 : REBECCA LYNN DELCAMBRE APRN,PNP : ALEXANDRIA, LA

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General NPI Number Information
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    NPI Number           |    1780881466
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA LYNN DELCAMBRE APRN,PNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/27/2007
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    Last Update Date     |    02/02/2017
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Provider Practice Location Address
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    Address Line         |    2226 WORLEY DR 
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    City                 |    ALEXANDRIA
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    State                |    LA
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    Zip                  |    71301-3600
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    Country              |    US
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    Telephone            |    318-561-0003
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    Fax                  |    318-561-0038
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Provider Business Mailing Address
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    Address Line         |    1068 HIGHWAY 454 
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    City                 |    PINEVILLE
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    State                |    LA
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    Zip                  |    71360-9229
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    Country              |    US
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    Telephone            |    318-487-1358
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    Fax                  |    318-487-9584
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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        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    1668
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    License Number State |    LA
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