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General NPI Number Information
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NPI Number | 1891688495
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Entity Type | Individual
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Provider Name | ZOE MADISON LACOMBE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 431 W LAFAYETTE ST
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City | WINNFIELD
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State | LA
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Zip | 71483-3463
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Country | US
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Telephone | 318-648-0375
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Fax |
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Provider Business Mailing Address
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Address Line | 148 ARCHIE DR
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City | COLFAX
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State | LA
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Zip | 71417-1001
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Country | US
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Telephone | 702-354-0211
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 212694
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License Number State | LA
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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 | 212694
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License Number State | LA
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