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General NPI Number Information
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NPI Number | 1043024458
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Entity Type | Individual
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Provider Name | BRANDI GOBLE
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 200 HENRY CLAY AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5720
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Country | US
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Telephone | 504-899-9511
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Fax | 504-896-9410
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Provider Business Mailing Address
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Address Line | 1612 VERSAILLES BUSINESS PKWY APT 1509
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City | COVINGTON
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State | LA
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Zip | 70433-6195
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Country | US
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Telephone | 985-445-3922
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Fax | 504-896-9410
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209562
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 209562
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License Number State | LA
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