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General NPI Number Information
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NPI Number | 1215899703
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Entity Type | Organization
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Legal Business Name | CATHERINE F VANDERLOOS
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 460 ASHLEY RIDGE BLVD STE 700
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City | SHREVEPORT
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State | LA
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Zip | 71106-7238
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Country | US
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Telephone | 318-865-4333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40106
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City | BELFAST
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State | ME
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Zip | 04915-1239
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Country | US
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Telephone | 318-865-4333
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Fax | 318-562-3615
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE VANDERLOOS
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Credential | MD
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Telephone | 318-865-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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