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General NPI Number Information
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NPI Number | 1326741364
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Entity Type | Individual
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Provider Name | SOPHIA SERPAS ANTEE
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5400 TCHOUPITOULAS ST STE F-4
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City | NEW ORLEANS
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State | LA
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Zip | 70115-2020
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Country | US
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Telephone | 504-229-3342
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Fax |
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Provider Business Mailing Address
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Address Line | 242 GRUNER RD
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City | METAIRIE
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State | LA
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Zip | 70001-5419
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Country | US
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Telephone | 504-715-9430
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7446
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License Number State | LA
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