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General NPI Number Information
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NPI Number | 1063756062
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Entity Type | Individual
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Provider Name | JOE LAVERNE ROOKS JR. ANP
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Gender | Male
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/16/2012
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Provider Practice Location Address
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Address Line | 3838 N CAUSEWAY BLVD STE 2200 THREE LAKEWAY CENTER
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City | METAIRIE
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State | LA
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Zip | 70002-8306
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Country | US
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Telephone | 504-849-1356
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Fax | 504-849-6987
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Provider Business Mailing Address
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Address Line | 3981 PEACHTREE CT
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City | NEW ORLEANS
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State | LA
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Zip | 70131-8315
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Country | US
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Telephone | 504-228-4825
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP06984
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License Number State | LA
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