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General NPI Number Information
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NPI Number | 1528243300
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Entity Type | Individual
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Provider Name | CHARISSE JANET WARD MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 12/29/2007
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1051 GAUSE BLVD
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City | SLIDELL
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State | LA
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Zip | 70458-2951
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Country | US
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Telephone | 985-641-7577
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Fax |
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Provider Business Mailing Address
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Address Line | 367 S GULPH RD, ATN :IPM CREDENTIALING ATN :IPM CREDENTIALING
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3121
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Country | US
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Telephone | 580-297-5166
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Fax | 580-237-1340
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 306659
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | Q9078
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 38234
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 306659
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License Number State | LA
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