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General NPI Number Information
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NPI Number | 1912707670
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Entity Type | Individual
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Provider Name | ALAYNA FAITH AUSTIN ACNPC-AG
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1633 MARVEL ST
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City | COUSHATTA
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State | LA
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Zip | 71019-9022
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Country | US
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Telephone | 318-932-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 128 JOYNER RD
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City | CASTOR
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State | LA
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Zip | 71016-4244
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Country | US
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Telephone | 318-471-1664
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 207711
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License Number State | LA
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