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General NPI Number Information
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NPI Number | 1528529179
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Entity Type | Individual
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Provider Name | NINA LEIGH MIMBS MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 3555 LOYOLA DR APT D
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City | KENNER
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State | LA
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Zip | 70065-7706
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Country | US
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Telephone | 504-464-8750
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Fax | 504-464-8751
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 337948
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License Number State | LA
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