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General NPI Number Information
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NPI Number | 1952138414
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Entity Type | Organization
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Legal Business Name | VILLAGE HEALTH
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 4085 FLORIDA BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-3858
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Country | US
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Telephone | 225-964-5332
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Fax | 225-465-5651
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Provider Business Mailing Address
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Address Line | 4085 FLORIDA BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-3858
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Country | US
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Telephone | 225-964-5332
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Fax | 225-465-5651
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. NIKKI CHRISTY HONORE
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Credential | DNP, APRN-BC, NEA-BC
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Telephone | 225-964-5332
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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 |
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License Number State |
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