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General NPI Number Information
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NPI Number | 1861103814
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Entity Type | Organization
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Legal Business Name | HANKS HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 19503 LAKE CHARLES HWY STE B
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City | DERIDDER
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State | LA
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Zip | 70634-2313
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Country | US
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Telephone | 337-918-0422
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Fax | 337-404-1207
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Provider Business Mailing Address
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Address Line | 19503 LAKE CHARLES HWY STE B
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City | DERIDDER
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State | LA
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Zip | 70634-2313
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Country | US
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Telephone | 337-918-0422
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Fax | 337-234-3484
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Authorized Official
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Title or Position | PROVIDER
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Name | SHANNON DALE HANKS
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Credential |
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Telephone | 337-764-3460
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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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