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General NPI Number Information
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NPI Number | 1780081836
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Entity Type | Individual
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Provider Name | NICOLE VEAL TUESNO LPN
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Gender | Female
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 4704 STEARNES STREET
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City | BATON ROUGE
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State | LA
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Zip | 70811-0000
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Country | US
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Telephone | 225-337-9558
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 OUIDA IRONDALE RD LOT 1
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City | WEYANOKE
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State | LA
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Zip | 70787-0000
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Country | US
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Telephone | 225-287-1849
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 240702
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License Number State | LA
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