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General NPI Number Information
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NPI Number | 1306156138
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 200 HENRY CLAY AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5720
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Country | US
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Telephone | 504-896-9511
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Fax | 504-896-2772
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Provider Business Mailing Address
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Address Line | 200 HENRY CLAY AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5720
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Country | US
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Telephone | 504-896-9511
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Fax | 504-896-2772
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Authorized Official
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Title or Position | CEO
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Name | MR. LUCIO FRAGOSO
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Credential |
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Telephone | 504-896-9511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2080C0008X
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Taxonomy Name | Child Abuse Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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