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General NPI Number Information
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NPI Number | 1063944494
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Entity Type | Individual
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Provider Name | BROOKS JARED CULOTTA MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 4224 HOUMA BLVD STE 140
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City | METAIRIE
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State | LA
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Zip | 70006-2934
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Country | US
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Telephone | 504-503-6565
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Fax | 504-456-8053
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Provider Business Mailing Address
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Address Line | 1100 POYDRAS ST., 2500 ENERGY CENTRE
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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 | 504-527-9950
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 322287
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 322287
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License Number State | LA
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