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General NPI Number Information
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NPI Number | 1255330353
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Entity Type | Individual
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Provider Name | THREVIA WEST MD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4704 AMBASSADOR CAFFERY PKWY STE 301
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City | LAFAYETTE
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State | LA
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Zip | 70508-6908
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Country | US
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Telephone | 337-443-6870
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Fax | 337-443-6899
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Provider Business Mailing Address
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Address Line | 1100 ROBLEY DR APT 4108
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City | LAFAYETTE
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State | LA
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Zip | 70503-5530
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Country | US
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Telephone | 202-717-2931
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 0101235519
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 300711
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License Number State | LA
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