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General NPI Number Information
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NPI Number | 1740677103
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Entity Type | Organization
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Legal Business Name | LA MEILLEURE SANTE MEDICAL GROUP LLC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 5409 BELLAIRE BLVD
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City | BELLAIRE
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State | TX
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Zip | 77401-3905
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Country | US
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Telephone | 504-444-7664
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Fax |
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Provider Business Mailing Address
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Address Line | 5409 BELLAIRE BLVD
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City | BELLAIRE
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State | TX
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Zip | 77401-3905
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Country | US
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Telephone | 504-444-7664
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL M BOUYARDEN
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Credential | M. D.
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Telephone | 504-444-7664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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