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General NPI Number Information
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NPI Number | 1669139671
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Entity Type | Organization
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Legal Business Name | ASCENSION DEPAUL SERVICES
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1523 ST. CHARLES AVENUE
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City | NEW ORLEANS
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State | LA
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Zip | 70130-7017
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Country | US
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Telephone | 504-504-3991
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Fax | 504-374-1450
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Provider Business Mailing Address
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Address Line | PO BOX 4148
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City | NEW ORLEANS
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State | LA
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Zip | 70178-4148
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Country | US
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Telephone | 504-399-1471
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Fax | 504-374-1450
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MICHAEL GRIFFIN
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Credential |
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Telephone | 504-207-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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