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General NPI Number Information
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NPI Number | 1972754208
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Entity Type | Individual
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Provider Name | LESLIE HOFFMAN PRATER APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 2647 S SAINT ELIZABETH BLVD
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City | GONZALES
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State | LA
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Zip | 70737-5021
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Country | US
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Telephone | 225-647-8511
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Fax | 225-644-5213
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Provider Business Mailing Address
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Address Line | 2647 S SAINT ELIZABETH BLVD
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City | GONZALES
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State | LA
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Zip | 70737-5021
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Country | US
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Telephone | 225-647-8511
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Fax | 225-644-5213
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | APRN04780
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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 | APRN04780
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License Number State | LA
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