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General NPI Number Information
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NPI Number | 1962154062
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Entity Type | Individual
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Provider Name | ANGELA NICOLE LAFONTAINE MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 985 ROBERT BLVD STE 105
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City | SLIDELL
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State | LA
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Zip | 70458-2063
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Country | US
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Telephone | 985-661-6215
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Fax |
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Provider Business Mailing Address
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Address Line | 64301 HIGHWAY 434
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City | LACOMBE
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State | LA
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Zip | 70445-5411
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Country | US
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Telephone | 985-882-4500
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 904844
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License Number State | MS
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