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General NPI Number Information
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NPI Number | 1275703126
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Entity Type | Organization
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Legal Business Name | JACK F LOUPE MD
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 8595 PICARDY AVE STE 210
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City | BATON ROUGE
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State | LA
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Zip | 70809-3670
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Country | US
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Telephone | 225-763-4822
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Fax | 225-763-4822
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Provider Business Mailing Address
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Address Line | 8595 PICARDY AVE STE 210
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City | BATON ROUGE
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State | LA
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Zip | 70809-3670
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Country | US
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Telephone | 225-763-4822
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Fax | 225-763-4822
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Authorized Official
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Title or Position | MD
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Name | JACK F LOUPE
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Credential | MD
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Telephone | 225-763-4822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD.008284
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License Number State | LA
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