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General NPI Number Information
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NPI Number | 1215239413
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Entity Type | Organization
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Legal Business Name | LESTER L DUCOTE JR MD, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 12/23/2013
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Provider Practice Location Address
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Address Line | 441A HEYMANN BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503
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Country | US
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Telephone | 337-234-3278
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Fax | 337-237-9003
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Provider Business Mailing Address
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Address Line | PO BOX 53428
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City | LAFAYETTE
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State | LA
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Zip | 70505-3428
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Country | US
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Telephone | 337-234-3278
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Fax | 337-237-9003
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Authorized Official
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Title or Position | OWNER
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Name | LESTER DUCOTE JR.
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Credential | M.D.
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Telephone | 337-234-3278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | L009379
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License Number State | LA
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