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General NPI Number Information
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NPI Number | 1053295865
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Entity Type | Organization
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Legal Business Name | ASCENSION DEPAUL SERVICES
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 835 PRIDE DR STE B75
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City | HAMMOND
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State | LA
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Zip | 70401-9527
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Country | US
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Telephone | 985-510-2019
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Fax | 985-510-2020
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Provider Business Mailing Address
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Address Line | PO BOX 4148
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City | NEW ORLEANS
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State | LA
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Zip | 70178-4148
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Country | US
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Telephone | 504-207-3060
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Fax | 504-483-6016
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Authorized Official
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Title or Position | CEO-PRESIDENT
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Name | MICHAEL GRIFFIN
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Credential |
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Telephone | 504-307-1188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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