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General NPI Number Information
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NPI Number | 1114088697
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Entity Type | Individual
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Provider Name | PAULA VANESSA DE LA CRUZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 2000 CANAL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70112-3018
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Country | US
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Telephone | 504-568-4615
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 PERDIDO ST FL 5
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City | NEW ORLEANS
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State | LA
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Zip | 70112-1352
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 236555
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A77095
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 326219
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License Number State | LA
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