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General NPI Number Information
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NPI Number | 1801243159
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST HEALTHCARE, LLC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 2 MEDICAL PLAZA PL
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City | MINDEN
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State | LA
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Zip | 71055-3330
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Country | US
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Telephone | 318-377-8400
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Fax | 318-377-8641
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Provider Business Mailing Address
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Address Line | 2 MEDICAL PLAZA PL
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City | MINDEN
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State | LA
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Zip | 71055-3330
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Country | US
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Telephone | 318-377-8400
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Fax | 318-377-8641
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | MRS. LILLIAN LEIGH DAVIS
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Credential | APRN, FNP-C
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Telephone | 318-377-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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