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General NPI Number Information
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NPI Number | 1902798408
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Entity Type | Individual
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Provider Name | ADRIEN RIDOUT
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 201 GRAY ST
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City | BELCHER
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State | LA
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Zip | 71004-7729
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Country | US
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Telephone | 903-947-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 14461 HIGHWAY 157
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City | BENTON
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State | LA
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Zip | 71006-4429
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Country | US
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Telephone | 318-517-2311
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 241668
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 241668
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 241668
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 241668
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License Number State | LA
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