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General NPI Number Information
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NPI Number | 1578966735
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Entity Type | Individual
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Provider Name | COURTNEY DOUGA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1816 BRYN MAWR ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-4501
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Country | US
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Telephone | 337-661-9068
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 BRYN MAWR ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-4501
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Country | US
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Telephone | 337-661-9068
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 128612
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License Number State | LA
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