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General NPI Number Information
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NPI Number | 1770110868
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Entity Type | Individual
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Provider Name | SETH AUSTIN GUILBEAU MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 120 RUE LOUIS XIV BLDG 2
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City | LAFAYETTE
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State | LA
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Zip | 70508-5739
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Country | US
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Telephone | 337-233-6665
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Fax |
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Provider Business Mailing Address
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Address Line | 120 RUE LOUIS XIV BLDG 2
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City | LAFAYETTE
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State | LA
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Zip | 70508-5739
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Country | US
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Telephone | 337-233-6665
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Fax | 337-769-7800
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 345383
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License Number State | LA
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