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General NPI Number Information
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NPI Number | 1407632136
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Entity Type | Individual
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Provider Name | ALYSSA CALLAIS GARY MSN, APRN, NNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2700 NAPOLEON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70115-6914
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Country | US
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Telephone | 504-899-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 259 SNOWY EGRET CT
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City | MADISONVILLE
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State | LA
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Zip | 70447-3272
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Country | US
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Telephone | 504-899-9311
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 152233
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License Number State | LA
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