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General NPI Number Information
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NPI Number | 1235774431
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Entity Type | Organization
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Legal Business Name | RDD CONSULTING
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Dates
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Enumeration Date | 11/12/2019
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 3400 MOSS ST STE B
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City | LAFAYETTE
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State | LA
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Zip | 70507-6114
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Country | US
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Telephone | 337-454-3352
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Fax | 337-454-3359
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Provider Business Mailing Address
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Address Line | PO BOX 62504
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City | LAFAYETTE
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State | LA
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Zip | 70596-2504
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Country | US
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Telephone | 337-454-3352
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Fax | 337-454-3359
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AFRICA BLACK DAUPHINEY
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Credential | NP
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Telephone | 337-380-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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