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General NPI Number Information
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NPI Number | 1184766016
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Entity Type | Organization
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Legal Business Name | DRS DECORTE & SASSARD APMC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/30/2021
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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 | 504-885-4833
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Fax | 504-888-3132
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Provider Business Mailing 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 | 504-885-4833
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Fax | 504-888-3132
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGIE RHETT SASSARD
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Credential | MD
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Telephone | 504-885-4833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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