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General NPI Number Information
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NPI Number | 1245935501
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Entity Type | Individual
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Provider Name | STEPHANIE TUFTS SALZER
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Gender | Female
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 3800 HOUMA BLVD STE 325
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City | METAIRIE
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State | LA
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Zip | 70006-4184
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Country | US
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Telephone | 504-855-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 4427 TRUDY AVE
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City | JEFFERSON
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State | LA
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Zip | 70121-1324
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Country | US
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Telephone | 504-715-7404
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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