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General NPI Number Information
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NPI Number | 1659886935
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Entity Type | Organization
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Legal Business Name | KREWE OF KIDS, LLC
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 101 W ROBERT E LEE BLVD STE 202
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City | NEW ORLEANS
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State | LA
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Zip | 70124-2459
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Country | US
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Telephone | 504-226-5739
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Fax | 504-322-2695
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Provider Business Mailing Address
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Address Line | 101 W ROBERT E LEE BLVD STE 202
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City | NEW ORLEANS
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State | LA
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Zip | 70124-2459
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Country | US
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Telephone | 504-226-5739
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Fax | 504-322-2695
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. VERONICA GARIBALDI LEWIS
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Credential | MD
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Telephone | 504-606-2098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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