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General NPI Number Information
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NPI Number | 1750390316
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Entity Type | Individual
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Provider Name | GERARD FITZGERALD SIGUE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 217 GLENEAGLES CIR
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City | BROUSSARD
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State | LA
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Zip | 70518-6185
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Country | US
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Telephone | 337-608-9043
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Fax |
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Provider Business Mailing Address
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Address Line | 2308 E MAIN ST SUITE E
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City | NEW IBERIA
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State | LA
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Zip | 70560-4041
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Country | US
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Telephone | 337-608-9043
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 022140
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License Number State | LA
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