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General NPI Number Information
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NPI Number | 1144817487
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Entity Type | Organization
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Legal Business Name | NORTH OAKS PHYSICIAN GROUP, LLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 1900 S MORRISON BLVD STE A
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City | HAMMOND
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State | LA
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Zip | 70403-5742
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Country | US
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Telephone | 985-230-5726
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Fax | 985-230-5691
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Provider Business Mailing Address
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Address Line | PO BOX 3087
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City | HAMMOND
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State | LA
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Zip | 70404-3087
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Country | US
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Telephone | 985-230-3668
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Fax | 985-370-7409
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MARK T ANDERSON
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Credential |
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Telephone | 985-230-6602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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