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General NPI Number Information
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NPI Number | 1932139193
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Entity Type | Organization
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Legal Business Name | IBERIA FAMILY CARE, APMC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 222 E MAIN ST STE B
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City | NEW IBERIA
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State | LA
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Zip | 70560-3878
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Country | US
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Telephone | 337-256-8012
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Fax | 337-256-8037
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Provider Business Mailing Address
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Address Line | 222 E MAIN ST STE B
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City | NEW IBERIA
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State | LA
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Zip | 70560-3878
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Country | US
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Telephone | 337-256-8012
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Fax | 337-256-8037
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. ROBERT F HANKENHOF III
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Credential | M.D.
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Telephone | 337-256-8012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 023102
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License Number State | LA
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