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General NPI Number Information
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NPI Number | 1235161043
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Entity Type | Organization
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Legal Business Name | IBERIA ORTHOPEDIC GROUP A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 510 JEFFERSON TERRACE BLVD. SUITE A
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City | NEW IBERIA
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State | LA
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Zip | 70560-4948
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Country | US
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Telephone | 337-365-8161
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Fax | 337-365-0294
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Provider Business Mailing Address
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Address Line | 510 JEFFERSON TERRACE BLVD. SUITE A
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City | NEW IBERIA
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State | LA
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Zip | 70560-4948
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Country | US
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Telephone | 337-365-8161
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Fax | 337-365-0294
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROLD JAMES HEBERT
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Credential | MD
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Telephone | 337-365-8161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | LA
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