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General NPI Number Information
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NPI Number | 1114209053
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Entity Type | Individual
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Provider Name | LACHANDRA MCGOWAN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 4901 PRYTANIA ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-4017
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Country | US
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Telephone | 504-234-6522
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Fax |
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Provider Business Mailing Address
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Address Line | 7716 S CLAIBORNE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70125-4013
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16614
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43999
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License Number State | TX
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