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General NPI Number Information
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NPI Number | 1710374194
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Entity Type | Individual
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Provider Name | CATHERINE TRIDICO HUDSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 372 TUDOR AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70123-1346
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Country | US
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Telephone | 225-266-6968
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Fax |
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Provider Business Mailing Address
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Address Line | 1542 TULANE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2865
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Country | US
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Telephone | 504-568-5600
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 308865
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 308856
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 308865
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License Number State | LA
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