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General NPI Number Information
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NPI Number | 1205236791
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Entity Type | Individual
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Provider Name | NGA VU
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Gender | Female
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 4540 HIGHWAY 22
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City | MANDEVILLE
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State | LA
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Zip | 70471-3300
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Country | US
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Telephone | 985-674-3320
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Fax | 985-674-3321
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Provider Business Mailing Address
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Address Line | 4646 WRIGHT RD
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City | NEW ORLEANS
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State | LA
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Zip | 70128-3039
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Country | US
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Telephone | 504-813-1366
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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 | 020691
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License Number State | LA
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