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General NPI Number Information
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NPI Number | 1134216518
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Entity Type | Individual
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Provider Name | ARIADNE A GAUTHIER MD
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 3149 AMBASSADOR CAFFERY PKWY
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City | LAFAYETTE
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State | LA
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Zip | 70506-7209
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Country | US
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Telephone | 337-706-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 3149 AMBASSADOR CAFFERY PKWY
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City | LAFAYETTE
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State | LA
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Zip | 70506-7209
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Country | US
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Telephone | 337-706-3415
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD.199921
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 199921
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License Number State | LA
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