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General NPI Number Information
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NPI Number | 1689766271
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY AND OSTEOPOROSIS SPECIALISTS, AMC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 820 JORDAN ST STE 201
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City | SHREVEPORT
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State | LA
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Zip | 71101-4518
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Country | US
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Telephone | 318-221-0399
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Fax | 318-221-1940
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Provider Business Mailing Address
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Address Line | 820 JORDAN SUITE 201
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City | SHREVEPORT
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State | LA
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Zip | 71101
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Country | US
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Telephone | 318-221-0399
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Fax | 318-221-1940
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SHARON LOW DAVIS
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Credential |
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Telephone | 318-221-0399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 13598
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License Number State | LA
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