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General NPI Number Information
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NPI Number | 1194777078
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Entity Type | Individual
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Provider Name | MARIA A. INCER-OBANDO MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 139 CHAPEL HILL DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1675
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Country | US
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Telephone | 504-505-3247
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Fax |
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Provider Business Mailing Address
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Address Line | 139 CHAPEL HILL DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1675
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Country | US
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Telephone | 504-505-3247
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 39095
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 003061
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 026646
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License Number State | LA
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