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General NPI Number Information
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NPI Number | 1437234812
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Entity Type | Organization
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Legal Business Name | JOHN R. HUMPHRIES, M.D., APMC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 155 HOSPITAL DR SUITE 408
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City | LAFAYETTE
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State | LA
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Zip | 70503-2852
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Country | US
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Telephone | 337-235-3016
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Fax | 337-269-0230
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Provider Business Mailing Address
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Address Line | 155 HOSPITAL DR SUITE 408
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City | LAFAYETTE
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State | LA
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Zip | 70503-2852
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Country | US
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Telephone | 337-235-3016
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Fax | 337-269-0230
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN R. HUMPHRIES
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Credential | M.D.
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Telephone | 337-235-3016
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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 | MD.012665
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License Number State | LA
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