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General NPI Number Information
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NPI Number | 1083636880
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Entity Type | Individual
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Provider Name | LAINIE VAN VOAST MONCADA MD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 501 W SAINT MARY BLVD STE 200
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City | LAFAYETTE
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State | LA
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Zip | 70506-4665
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Country | US
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Telephone | 337-470-4500
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Fax | 337-470-4515
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Provider Business Mailing Address
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Address Line | 501 W SAINT MARY BLVD STE 200
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City | LAFAYETTE
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State | LA
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Zip | 70506-4665
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Country | US
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Telephone | 337-470-4500
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 024343
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License Number State | LA
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