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General NPI Number Information
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NPI Number | 1093201105
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Entity Type | Individual
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Provider Name | RYAN ORGERON RD, LDN, CPT
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Gender | Male
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 521 LEGION AVE
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City | HOUMA
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State | LA
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Zip | 70364-3339
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Country | US
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Telephone | 985-413-2867
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Fax |
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Provider Business Mailing Address
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Address Line | 521 LEGION AVE
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City | HOUMA
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State | LA
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Zip | 70364-3339
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Country | US
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Telephone |
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 2895
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 2895
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2895
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License Number State | LA
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