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General NPI Number Information
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NPI Number | 1700447109
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Entity Type | Organization
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Legal Business Name | NICHOLAS LAPARA III MD, LLC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 119 BLUEGRASS CREEK RD
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-6396
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Country | US
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Telephone | 504-491-9021
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Fax |
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Provider Business Mailing Address
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Address Line | 119 BLUEGRASS CREEK RD
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-6396
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Country | US
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Telephone | 504-491-9021
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS J LAPARA III
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Credential | MD
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Telephone | 504-491-9021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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