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General NPI Number Information
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NPI Number | 1245426774
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Entity Type | Individual
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Provider Name | PATRICK MICHAEL DENNIS MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 826 HARRISON AVE SUITE A
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City | NEW ORLEANS
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State | LA
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Zip | 70124
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Country | US
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Telephone | 504-309-7108
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Fax | 504-309-7115
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Provider Business Mailing Address
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Address Line | 826 HARRISON AVE SUITE A
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City | NEW ORLEANS
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State | LA
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Zip | 70124
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Country | US
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Telephone | 504-309-7108
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Fax | 504-309-7115
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | MD200267
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | MD.200267
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License Number State | LA
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