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General NPI Number Information
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NPI Number | 1023069085
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Entity Type | Individual
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Provider Name | HUGO F. QUEVEDO PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 101 JUDGE TANNER BLVD STE 300
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City | COVINGTON
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State | LA
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Zip | 70433-7506
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Country | US
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Telephone | 859-867-2100
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Fax | 985-871-1548
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Provider Business Mailing Address
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Address Line | LCMC HEALTH - PAYOR ENROLLMENTS 1100 POYDRAS ST., STE. 2500
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City | NEW ORLEANS
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State | LA
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Zip | 70163-2500
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Country | US
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Telephone | 504-527-9953
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA09186
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-03001
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9101747
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9101747
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9101747
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 340264
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License Number State | LA
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