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General NPI Number Information
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NPI Number | 1881534782
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Entity Type | Organization
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Legal Business Name | IDEAL CARE FAMILY MEDICAL CLINIC, LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 935 VERONE TERRACE
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City | LEESVILLE
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State | LA
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Zip | 71446-4254
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Country | US
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Telephone | 337-208-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 997 ALLEN GORDY RD
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City | LEESVILLE
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State | LA
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Zip | 71446-7453
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Country | US
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Telephone | 337-208-5055
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHERRI EARLENE BENNETT
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Credential | APRN FNP-C
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Telephone | 337-208-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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