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General NPI Number Information
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NPI Number | 1588271712
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Entity Type | Organization
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Legal Business Name | WILLIAM N. LANDRY III MD, APMC
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 121 LAKEVIEW CIRCLE SUITE C
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-892-1111
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Fax | 985-892-1116
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Provider Business Mailing Address
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Address Line | 121 LAKEVIEW CIRCLE SUITE C
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-892-1111
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Fax | 985-892-1116
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | WILLIAM N. LANDRY III
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Credential | M.D.
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Telephone | 985-892-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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