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General NPI Number Information
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NPI Number | 1164548822
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Entity Type | Individual
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Provider Name | ANDREA SUSANNA USHER MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 5825 AIRLINE HWY
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City | BATON ROUGE
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State | LA
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Zip | 70805-2408
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Country | US
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Telephone | 504-358-1179
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Fax |
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Provider Business Mailing Address
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Address Line | 7250 PERKINS RD APT 838
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City | BATON ROUGE
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State | LA
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Zip | 70808-4398
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Country | US
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Telephone | 504-756-3449
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 026008
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License Number State | LA
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