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General NPI Number Information
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NPI Number | 1144350505
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Entity Type | Individual
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Provider Name | MARNE' EVE DEVILLIER M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 3702 MAPLEWOOD DR
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City | SULPHUR
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State | LA
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Zip | 70663-6302
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Country | US
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Telephone | 337-625-5459
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Fax | 337-626-2045
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Provider Business Mailing Address
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Address Line | 3702 MAPLEWOOD DR
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City | SULPHUR
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State | LA
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Zip | 70663-6302
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Country | US
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Telephone | 337-625-5459
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Fax | 337-626-2045
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.200282
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License Number State | LA
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