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General NPI Number Information
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NPI Number | 1821964693
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Entity Type | Organization
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Legal Business Name | CONNECTIFY HEALTHLINK, LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5811 LOWER ZACHARY RD
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City | ZACHARY
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State | LA
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Zip | 70791-5328
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Country | US
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Telephone | 225-937-7491
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Fax |
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Provider Business Mailing Address
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Address Line | 1765 ONEAL LN # 109
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City | BATON ROUGE
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State | LA
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Zip | 70816-1633
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Country | US
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Telephone | 225-308-1386
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | MS. ANTIQUA NICOLE SMART
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Credential | APRN, FNP, PMHNP
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Telephone | 225-937-7491
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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