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General NPI Number Information
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NPI Number | 1568430924
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Entity Type | Individual
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Provider Name | PATRICK R. MAGEE O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 5605 AMBASSADOR CAFFERY PKWY STE 100
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-5180
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Country | US
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Telephone | 337-984-2020
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Fax | 337-989-0374
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Provider Business Mailing Address
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Address Line | 4510 AMBASSADOR CAFFERY PKWY SUITE A
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City | LAFAYETTE
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State | LA
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Zip | 70508-6931
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Country | US
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Telephone | 337-984-2020
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Fax | 337-989-0374
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 916-070T
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License Number State | LA
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