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General NPI Number Information
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NPI Number | 1427074467
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Entity Type | Individual
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Provider Name | CHAD LOUP MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 1023 W HIGHWAY 30
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City | GONZALES
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State | LA
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Zip | 70737-5002
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Country | US
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Telephone | 225-743-2366
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Fax | 225-743-2369
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Provider Business Mailing Address
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Address Line | 8080 BLUEBONNET BLVD SUITE 1000
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City | BATON ROUGE
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State | LA
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Zip | 70810-7827
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Country | US
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Telephone | 225-924-2424
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 15063R
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License Number State | LA
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