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General NPI Number Information
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NPI Number | 1124204649
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Entity Type | Organization
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Legal Business Name | KATHY L. CHAUVIN, M.D.
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 804 HEAVENS DR STE 105
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City | MANDEVILLE
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State | LA
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Zip | 70471-2857
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Country | US
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Telephone | 985-845-2677
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Fax | 985-845-2277
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Provider Business Mailing Address
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Address Line | 804 HEAVENS DR STE 105
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City | MANDEVILLE
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State | LA
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Zip | 70471-2857
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Country | US
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Telephone | 985-845-2677
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Fax | 985-845-2277
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KATHY L CHAUVIN
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Credential | M.D.
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Telephone | 985-845-2677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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