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General NPI Number Information
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NPI Number | 1427429927
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Entity Type | Organization
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Legal Business Name | BPMD LLC
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Dates
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Enumeration Date | 10/10/2015
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Last Update Date | 10/10/2015
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Provider Practice Location Address
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Address Line | 4720 S I 10 SERVICE RD W SUITE 201
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City | METAIRIE
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State | LA
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Zip | 70001-7404
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Country | US
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Telephone | 504-455-1107
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Fax | 504-887-9167
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Provider Business Mailing Address
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Address Line | 4720 S I 10 SERVICE RD W SUITE 201
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City | METAIRIE
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State | LA
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Zip | 70001-7404
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Country | US
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Telephone | 504-455-1107
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Fax | 504-887-9167
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Authorized Official
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Title or Position | OWNER / PHYSICIANS
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Name | BRANDON LUIS PEREZ
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Credential | MD
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Telephone | 504-455-1107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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