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General NPI Number Information
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NPI Number | 1598757551
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Entity Type | Individual
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Provider Name | JOSEPH KEMP TULLIER DPM
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 4630 BLUEBONNET BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70809-9632
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Country | US
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Telephone | 225-295-1027
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Fax | 225-295-1491
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Provider Business Mailing Address
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Address Line | 4630 BLUEBONNET BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70809-9632
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Country | US
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Telephone | 225-295-1027
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Fax | 225-295-1491
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | DPMPD0113
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PD0113
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License Number State | LA
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