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General NPI Number Information
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NPI Number | 1174944417
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Entity Type | Individual
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Provider Name | PHILLIP STURTEVANT LHAS
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Gender | Male
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 11/01/2019
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Provider Practice Location Address
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Address Line | 1820 BELLE CHASSE HWY STE 106
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City | TERRYTOWN
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State | LA
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Zip | 70056-7021
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Country | US
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Telephone | 231-739-5100
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Fax | 231-739-5161
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Provider Business Mailing Address
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Address Line | 5750 JOHNSTON ST STE 502
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City | LAFAYETTE
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State | LA
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Zip | 70503-5334
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Country | US
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Telephone | 231-739-5100
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Fax | 231-739-5161
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3501005499
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA0675
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1310
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License Number State | LA
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