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General NPI Number Information
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NPI Number | 1457765703
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Entity Type | Individual
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Provider Name | BRIAN JOSEPH PRATTINI D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2014
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 3525 PRYTANIA ST STE 620
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City | NEW ORLEANS
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State | LA
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Zip | 70115-8100
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Country | US
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Telephone | 504-210-4071
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Fax | 504-210-4072
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Provider Business Mailing Address
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Address Line | 1100 POYDRAS ST STE 2500
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City | NEW ORLEANS
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State | LA
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Zip | 70163-2500
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Country | US
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Telephone | 504-527-9953
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Fax | 504-527-9950
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 260228
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License Number State | MA
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