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General NPI Number Information
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NPI Number | 1134688393
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Entity Type | Individual
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Provider Name | PAIGE ELIZABETH DEVILLE
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Gender | Female
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 15770 PAUL VEGA MD DR STE 108B
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City | HAMMOND
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State | LA
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Zip | 70403-1475
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Country | US
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Telephone | 985-230-7430
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Fax | 985-230-7431
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Provider Business Mailing Address
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Address Line | PO BOX 2668
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City | HAMMOND
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State | LA
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Zip | 70404-2668
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Country | US
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Telephone | 985-230-1682
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Fax | 985-230-6652
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 334194
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License Number State | LA
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