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General NPI Number Information
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NPI Number | 1134779101
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Entity Type | Organization
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Legal Business Name | SIDE-BY-SIDE MEDICAL SERVICES A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 304 E VETERANS MEML DR
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City | KAPLAN
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State | LA
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Zip | 70548-5009
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Country | US
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Telephone | 337-643-8424
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Fax | 337-643-8407
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Provider Business Mailing Address
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Address Line | 304 E VETERANS MEML DR
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City | KAPLAN
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State | LA
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Zip | 70548-5009
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Country | US
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Telephone | 337-643-8424
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Fax | 337-643-8407
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM ALDEN
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Credential | MD
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Telephone | 504-508-0057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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