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General NPI Number Information
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NPI Number | 1427254358
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Entity Type | Individual
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Provider Name | NARCISA DEL JESUS INTRIAGO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 100 PINECREST DR.
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City | PINEVILLE
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State | LA
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Zip | 71360-4276
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Country | US
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Telephone | 318-641-2000
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Fax | 318-641-2297
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Provider Business Mailing Address
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Address Line | 4100 WATERFORD DR
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2950
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Country | US
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Telephone | 318-419-4745
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L#026304
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License Number State | LA
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