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General NPI Number Information
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NPI Number | 1538450317
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Entity Type | Individual
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Provider Name | LAUREN SUZONNE BONNETTE MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 256 HIGHWAY 3048
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City | RAYVILLE
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State | LA
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Zip | 71269-3624
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Country | US
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Telephone | 318-728-2046
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Fax | 318-728-9371
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Provider Business Mailing Address
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Address Line | 256 HIGHWAY 3048
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City | RAYVILLE
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State | LA
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Zip | 71269-3624
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Country | US
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Telephone | 318-728-2046
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Fax | 318-728-9371
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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 | 53229
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License Number State | TN
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