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General NPI Number Information
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NPI Number | 1629254255
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Entity Type | Individual
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Provider Name | HERBERT E DRUILHET III NP
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Gender | Male
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 1216 CAMELLIA BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-6667
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Country | US
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Telephone | 337-769-0069
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 919229
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City | DALLAS
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State | TX
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Zip | 75391-9229
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Country | US
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Telephone | 337-289-8861
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | AP03296
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP03296
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License Number State | LA
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