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General NPI Number Information
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NPI Number | 1598658833
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Entity Type | Individual
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Provider Name | GRETA VERDE BOOTH CD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 533 S GALVEZ ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7515
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Country | US
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Telephone | 504-215-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 689 N BEAU CHENE DR
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City | MANDEVILLE
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State | LA
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Zip | 70471-1724
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Country | US
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Telephone | 985-807-8080
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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