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General NPI Number Information
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NPI Number | 1588735906
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Entity Type | Organization
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Legal Business Name | MEENA A BAKARE MD APMC
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 1008 6TH STREET
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City | MAMOU
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State | LA
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Zip | 70554-3124
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Country | US
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Telephone | 337-468-2515
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Fax | 337-468-2517
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Provider Business Mailing Address
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Address Line | 1008 6TH STREET
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City | MAMOU
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State | LA
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Zip | 70554-3124
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Country | US
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Telephone | 337-468-2515
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Fax | 337-468-2517
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEENA A BAKARE
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Credential | MD
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Telephone | 337-468-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD06105R
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License Number State | LA
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