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General NPI Number Information
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NPI Number | 1427290840
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Entity Type | Individual
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Provider Name | MICHELE A PRATTINI NP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 4409 UTICA ST SUITE 100
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City | METAIRIE
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State | LA
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Zip | 70006-6530
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Country | US
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Telephone | 504-457-3687
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Fax | 504-620-0250
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Provider Business Mailing Address
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Address Line | 3733 BARBARA PL
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City | METAIRIE
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State | LA
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Zip | 70002-5805
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Country | US
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Telephone | 504-457-3687
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Fax | 504-620-0250
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN075498-AP05744
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License Number State | LA
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