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General NPI Number Information
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NPI Number | 1154854347
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Entity Type | Individual
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Provider Name | KELSEY LEE ALABASTER M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2017
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 4228 HOUMA BLVD STE 220
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City | METAIRIE
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State | LA
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Zip | 70006-3006
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Country | US
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Telephone | 504-264-9353
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Fax |
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Provider Business Mailing Address
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Address Line | 441 GRAVIER ST APT 6
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City | NEW ORLEANS
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State | LA
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Zip | 70130-2400
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Country | US
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Telephone | 901-378-1790
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 306087
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License Number State | LA
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