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General NPI Number Information
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NPI Number | 1154896660
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Entity Type | Individual
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Provider Name | VERONICA MAYER
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Gender | Female
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Dates
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Enumeration Date | 10/11/2018
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 5831 W PARK AVE
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City | HOUMA
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State | LA
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Zip | 70364-1424
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Country | US
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Telephone | 985-868-9118
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 ORION AVE
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City | METAIRIE
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State | LA
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Zip | 70005-1526
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Country | US
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Telephone | 985-259-1772
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.022600
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License Number State | LA
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