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General NPI Number Information
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NPI Number | 1548031081
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Entity Type | Organization
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Legal Business Name | SPECIALIST PHYSICIANS LLC
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 3636 S I 10 SERVICE RD W STE 204
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City | METAIRIE
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State | LA
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Zip | 70001-6418
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Country | US
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Telephone | 504-453-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 484 AUDUBON ST
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City | NEW ORLEANS
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State | LA
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Zip | 70118-4948
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Country | US
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Telephone | 504-453-6883
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD HENRY MARSHALL JR.
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Credential | MD
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Telephone | 504-453-6883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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