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General NPI Number Information
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NPI Number | 1093904708
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Entity Type | Organization
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Legal Business Name | HEINEN OBSTETRICS AND GYNECOLOGY LLC
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 3448 HIGHWAY 190
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City | EUNICE
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State | LA
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Zip | 70535-5100
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Country | US
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Telephone | 337-546-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 3448 HIGHWAY 190
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City | EUNICE
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State | LA
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Zip | 70535-5100
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Country | US
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Telephone | 337-546-6237
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PAULA SATTLER FUSELIER
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Credential |
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Telephone | 337-546-6237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 023109
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License Number State | LA
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