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General NPI Number Information
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NPI Number | 1316471634
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Entity Type | Individual
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Provider Name | JOURDAIN D. ARTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 11515 EL CAMINO REAL STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92130-3037
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Country | US
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Telephone | 858-720-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 1542 TULANE AVE RM 748A
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2865
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Country | US
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Telephone | 504-568-3310
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | A180785
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License Number State | CA
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