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General NPI Number Information
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NPI Number | 1265772081
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Entity Type | Organization
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Legal Business Name | CYPRESS PEDIATRICS, LLC
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 200 W ESPLANADE AVE STE 314
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City | KENNER
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State | LA
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Zip | 70065-2489
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Country | US
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Telephone | 504-305-5500
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Fax | 504-305-5038
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Provider Business Mailing Address
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Address Line | 200 W ESPLANADE AVE STE 314
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City | KENNER
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State | LA
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Zip | 70065-2489
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Country | US
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Telephone | 504-305-5500
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Fax | 504-305-5038
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN MARIE FOTI
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Credential | M.D.
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Telephone | 504-251-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD 25481
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License Number State | LA
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