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General NPI Number Information
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NPI Number | 1609842947
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Entity Type | Individual
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Provider Name | SUSAN J BRYANT MD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 3434 HOUMA BLVD STE 301
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City | METAIRIE
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State | LA
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Zip | 70006-4201
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Country | US
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Telephone | 504-635-2601
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Fax | 504-324-2078
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Provider Business Mailing Address
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Address Line | 29301 N DIXIE RANCH RD
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City | LACOMBE
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State | LA
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Zip | 70445
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Country | US
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Telephone | 985-871-4114
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Fax | 985-871-4130
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 021783
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 021783
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License Number State | LA
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