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General NPI Number Information
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NPI Number | 1356689889
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Entity Type | Individual
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Provider Name | ANDRE LANIER LEJEUNE RPH
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Gender | Male
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 3550 GOVERNMENT ST
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City | BATON ROUGE
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State | LA
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Zip | 70806-5718
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Country | US
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Telephone | 225-343-8878
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 NICHOLSON DR UNIT 25
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City | BATON ROUGE
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State | LA
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Zip | 70802-8133
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Country | US
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Telephone | 225-810-3303
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15276
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH45141
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License Number State | CA
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