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General NPI Number Information
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NPI Number | 1063124519
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Entity Type | Organization
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Legal Business Name | HYPERBARIC MEDICAL ASSOCIATE PC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 3445 N CAUSEWAY BLVD STE 600
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 855-228-0790
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Fax |
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Provider Business Mailing Address
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Address Line | 3445 N CAUSEWAY BLVD STE 600
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City | METAIRIE
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State | LA
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Zip | 70002-3762
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Country | US
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Telephone | 504-609-3282
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | DOUGLAS COGLIANO
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Credential |
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Telephone | 914-372-3160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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