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General NPI Number Information
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NPI Number | 1952407728
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Entity Type | Individual
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Provider Name | MELISSA GUILBEAU FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 215 RUE FOUNTAINE SUITE 108
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City | LAFAYETTE
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State | LA
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Zip | 70508-5742
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Country | US
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Telephone | 337-889-3682
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Fax | 337-534-0798
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Provider Business Mailing Address
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Address Line | PO BOX 81515
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City | LAFAYETTE
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State | LA
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Zip | 70598-1515
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Country | US
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Telephone | 337-889-3682
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Fax | 337-534-0798
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | RN100054
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP04767
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP04767
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License Number State | LA
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