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General NPI Number Information
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NPI Number | 1225345085
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Entity Type | Individual
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Provider Name | ANJUM ASAD M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1516 CHEMIN METAIRIE RD STE A
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-2000
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Country | US
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Telephone | 337-857-5910
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Fax | 337-857-5913
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Provider Business Mailing Address
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Address Line | 5000 AMBASSADOR CAFFERY PKWY SUITE 6 B
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City | LAFAYETTE
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State | LA
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Zip | 70508-6984
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Country | US
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Telephone | 337-470-3070
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Fax | 337-470-2318
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 206557
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD.206557
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License Number State | LA
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