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General NPI Number Information
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NPI Number | 1679683403
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Entity Type | Organization
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Legal Business Name | VASCULAR ASSOCIATES LABORATORY
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8595 PICARDY AVENUE SUITE 320
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City | BATON ROUGE
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State | LA
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Zip | 70809-3675
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Country | US
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Telephone | 225-769-4266
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Fax | 225-819-2976
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Provider Business Mailing Address
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Address Line | 8595 PICARDY AVENUE SUITE 320
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City | BATON ROUGE
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State | LA
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Zip | 70809-3675
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Country | US
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Telephone | 225-769-4266
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Fax | 225-819-2976
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | DONALD H VARNADO
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Credential |
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Telephone | 225-769-4493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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