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General NPI Number Information
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NPI Number | 1528410305
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Entity Type | Individual
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Provider Name | AMBER VERDUN BAILEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 02/20/2020
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Provider Practice Location Address
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Address Line | 4224 HOUMA BLVD STE 550
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City | METAIRIE
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State | LA
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Zip | 70006
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Country | US
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Telephone | 504-503-7001
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Fax | 504-503-7002
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Provider Business Mailing Address
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Address Line | 131 S ROBERTSON ST STE 1300
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2807
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Country | US
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Telephone | 504-988-5565
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Fax | 504-988-5793
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 302034
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 302034
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License Number State | LA
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