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General NPI Number Information
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NPI Number | 1871550277
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Entity Type | Organization
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Legal Business Name | YOUREE ASSOCIATES INC APC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 11/12/2007
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Provider Practice Location Address
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Address Line | 4651 CAMBRIDGE CIR
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City | SHREVEPORT
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State | LA
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Zip | 71107-3535
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Country | US
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Telephone | 318-629-1588
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Fax | 318-629-1589
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Provider Business Mailing Address
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Address Line | 4651 CAMBRIDGE CIR
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City | SHREVEPORT
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State | LA
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Zip | 71107-3535
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Country | US
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Telephone | 318-629-1588
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Fax | 318-629-1589
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | WALTER RANDALL PATTON
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Credential |
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Telephone | 318-629-1588
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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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