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General NPI Number Information
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NPI Number | 1548370414
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Entity Type | Individual
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Provider Name | ANDREW JOHNSON OLINDE MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 8888 SUMMA AVE CARDIOLOGY TOWER 3RD FLOOR
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City | BATON ROUGE
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State | LA
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Zip | 70809-3720
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Country | US
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Telephone | 225-769-4493
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Fax | 225-766-3144
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Provider Business Mailing Address
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Address Line | 8888 SUMMA AVE CARDIOLOGY TOWER 3RD FLOOR
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City | BATON ROUGE
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State | LA
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Zip | 70809-3720
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Country | US
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Telephone | 225-769-4493
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Fax | 225-766-3144
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 015014
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License Number State | LA
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