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General NPI Number Information
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NPI Number | 1275038168
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Entity Type | Individual
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Provider Name | LYDIA ANNE BRESKIN MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2018
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 91 WESTBANK EXPY STE 440
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City | GRETNA
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State | LA
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Zip | 70053-3678
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Country | US
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Telephone | 504-584-0300
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Fax | 504-754-2150
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Provider Business Mailing Address
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Address Line | 3009 IBERVILLE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-5419
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Country | US
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Telephone | 313-727-8851
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 323553
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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