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General NPI Number Information
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NPI Number | 1104883305
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Entity Type | Individual
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Provider Name | DAVID NELSON OUBRE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 15752 MEDICAL ARTS PLAZA SUITE 101
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City | HAMMOND
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State | LA
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Zip | 70403
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Country | US
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Telephone | 985-419-0025
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Fax | 985-419-0035
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Provider Business Mailing Address
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Address Line | 15752 MEDICAL ARTS PLAZA SUITE 101
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City | HAMMOND
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State | LA
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Zip | 70403
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Country | US
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Telephone | 985-419-0025
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Fax | 985-419-0035
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 022330
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License Number State | LA
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