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General NPI Number Information
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NPI Number | 1699512673
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Entity Type | Individual
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Provider Name | MATTHEW BRAUD NP
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Gender | Male
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Dates
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Enumeration Date | 07/09/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 3600 HOUMA BLVD
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City | METAIRIE
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State | LA
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Zip | 70006-4230
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Country | US
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Telephone | 504-309-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 HOUMA BLVD
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City | METAIRIE
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State | LA
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Zip | 70006-4230
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Country | US
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Telephone | 504-309-6500
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 205628
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 205628
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License Number State | LA
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