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General NPI Number Information
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NPI Number | 1346275138
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Entity Type | Individual
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Provider Name | ROBERT LAIRD CRAIG M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 504 JACK MILLER RD STE 6
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City | VILLE PLATTE
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State | LA
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Zip | 70586-5600
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Country | US
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Telephone | 337-363-4401
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Fax | 337-363-4402
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Provider Business Mailing Address
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Address Line | 411 E MAIN ST
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City | VILLE PLATTE
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State | LA
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Zip | 70586-4609
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Country | US
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Telephone | 337-336-5032
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 18465
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License Number State | LA
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