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General NPI Number Information
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NPI Number | 1326009747
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Entity Type | Organization
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Legal Business Name | ESCIPION PEDROZA
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4213 SAXON ST SUITE 200
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City | METAIRIE
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State | LA
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Zip | 70006-4187
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Country | US
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Telephone | 504-454-2816
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Fax | 504-455-5684
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Provider Business Mailing Address
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Address Line | 4213 SAXON ST SUITE 200
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City | METAIRIE
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State | LA
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Zip | 70006-4187
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Country | US
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Telephone | 504-454-2816
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Fax | 504-455-5684
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TERRY BOZEMAN
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Credential |
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Telephone | 504-454-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | M.D.05646R
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License Number State | LA
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