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General NPI Number Information
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NPI Number | 1154696581
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Entity Type | Organization
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Legal Business Name | AUDUBON FERTILITY AND REPRODUCTIVE MEDICINE
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 4321 MAGNOLIA ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6227
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Country | US
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Telephone | 504-891-1390
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 MAGNOLIA ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6227
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. LINDSAY WELLS
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Credential |
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Telephone | 504-891-1390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 026133
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License Number State | LA
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