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NPI 1760598726

NPI 1760598726 : MELANIE C. FIRMIN, MD APMC : ALEXANDRIA, LA

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General NPI Number Information
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    NPI Number           |    1760598726
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    Entity Type          |    Organization 
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    Legal Business Name  |    MELANIE C. FIRMIN, MD APMC 
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Dates
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    Enumeration Date     |    08/22/2006
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    Last Update Date     |    05/22/2018
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Provider Practice Location Address
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    Address Line         |    1587 N BOLTON AVE STE 1200 
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    City                 |    ALEXANDRIA
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    State                |    LA
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    Zip                  |    71303
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    Country              |    US
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    Telephone            |    318-473-9267
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    Fax                  |    318-445-0771
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7027 
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    City                 |    ALEXANDRIA
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    State                |    LA
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    Zip                  |    71306-0027
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    Country              |    US
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    Telephone            |    318-473-9267
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    Fax                  |    318-445-0771
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Authorized Official
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    Title or Position    |    OFFICE ADMINISTRATOR
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    Name                 |     LACONDRA  HUNTER 
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    Credential           |    
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    Telephone            |    318-473-9267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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