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General NPI Number Information
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NPI Number | 1619844180
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Entity Type | Individual
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Provider Name | MR. JEREMY PAUL LARTIGUE
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Gender | Male
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 2201 VETERANS MEMORIAL DR
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City | ABBEVILLE
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State | LA
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Zip | 70510-4004
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Country | US
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Telephone | 337-899-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 301 ABSHIRE DR
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City | KAPLAN
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State | LA
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Zip | 70548-2447
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16031
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License Number State | LA
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