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General NPI Number Information
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NPI Number | 1144419128
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Entity Type | Organization
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Legal Business Name | RALPH G. ASBURY, MD, APMC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 6198 CYPRESS ST BUILDING 2
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City | WEST MONROE
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State | LA
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Zip | 71291-9010
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Country | US
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Telephone | 318-397-6360
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Fax | 318-397-6399
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Provider Business Mailing Address
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Address Line | 2713 OAK DR
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City | MONROE
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State | LA
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Zip | 71201-2432
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Country | US
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Telephone | 318-323-2313
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Fax | 318-387-6618
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RALPH ASBURY
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Credential | M.D.
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Telephone | 318-323-2313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | MD012782
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License Number State | LA
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