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General NPI Number Information
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NPI Number | 1609319185
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Entity Type | Individual
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Provider Name | RAYMOND EUGENE LOUQUE JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1100 FLORIDA AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70119-2715
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Country | US
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Telephone | 504-619-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 12530 LAKELAND DR
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City | WALKER
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State | LA
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Zip | 70785-8200
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Country | US
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Telephone | 225-347-3380
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4894
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10984
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4894
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License Number State | LA
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