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General NPI Number Information
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NPI Number | 1609743533
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Entity Type | Individual
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Provider Name | AERAN ELIZABETH MELANCON LCGC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 8200 CONSTANTIN BLVD FL 3
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City | BATON ROUGE
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State | LA
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Zip | 70809-3481
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Country | US
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Telephone | 225-765-7824
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Fax | 225-765-1173
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 225-765-8988
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Fax | 225-765-9196
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 349634
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License Number State | LA
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