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General NPI Number Information
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NPI Number | 1386897296
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Entity Type | Organization
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Legal Business Name | THOMAS S. GUILLOT, JR. MD APMC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 7777 HENNESSY BLVD MEDICAL PLAZA II, STE. 6001
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City | BATON ROUGE
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State | LA
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Zip | 70808-4300
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Country | US
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Telephone | 225-769-2955
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Fax | 225-769-4908
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Provider Business Mailing Address
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Address Line | 7777 HENNESSY BLVD MEDICAL PLAZA II, STE. 6001
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City | BATON ROUGE
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State | LA
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Zip | 70808-4300
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Country | US
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Telephone | 225-769-2955
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Fax | 225-769-4908
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Authorized Official
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Title or Position | PLASTIC SURGEON
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Name | DR. THOMAS S. GUILLOT JR.
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Credential | M.D.
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Telephone | 225-769-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 015270
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License Number State | LA
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