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General NPI Number Information
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NPI Number | 1639591324
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Entity Type | Individual
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Provider Name | RAYMOND LAWRENCE PREGEANT PMHNP
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Gender | Male
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 200 HENRY CLAY AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-5798
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Country | US
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Telephone | 504-899-9511
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Fax |
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Provider Business Mailing Address
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Address Line | 4216 FLORIDA AVE APARTMENT B
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City | KENNER
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State | LA
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Zip | 70065-1360
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Country | US
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Telephone | 504-466-3702
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Fax | 504-468-9374
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP07636
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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 | AP07636
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License Number State | LA
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