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General NPI Number Information
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NPI Number | 1902739568
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Entity Type | Individual
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Provider Name | LATRESHA LASHAE STARKS
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 309 MARCHAND DR
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City | DONALDSONVILLE
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State | LA
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Zip | 70346-3242
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Country | US
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Telephone | 225-725-4288
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Fax | 225-725-4156
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Provider Business Mailing Address
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Address Line | 309 MARCHAND DR
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City | DONALDSONVILLE
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State | LA
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Zip | 70346-3242
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Country | US
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Telephone | 225-725-4288
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State | LA
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