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General NPI Number Information
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NPI Number | 1477823144
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Entity Type | Organization
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Legal Business Name | RAUL LLANOS, MD PMC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 3749 N CAUSEWAY BLVD SUITE C
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City | METAIRIE
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State | LA
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Zip | 70002-1740
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Country | US
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Telephone | 504-834-1050
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Fax | 504-828-0570
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Provider Business Mailing Address
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Address Line | 3749 N CAUSEWAY BLVD SUITE C
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City | METAIRIE
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State | LA
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Zip | 70002-1740
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Country | US
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Telephone | 504-834-1050
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Fax | 504-828-0570
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAUL LLANOS
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Credential | MD
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Telephone | 504-834-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 13578
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License Number State | LA
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