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General NPI Number Information
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NPI Number | 1780181180
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Entity Type | Individual
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Provider Name | AMANDA HALL BEGUE DDS
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Gender | Female
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 159 LONGVIEW DR STE A
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City | DESTREHAN
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State | LA
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Zip | 70047-5076
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Country | US
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Telephone | 985-307-0072
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Fax |
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Provider Business Mailing Address
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Address Line | 7063 ARGONNE BLVD
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City | NEW ORLEANS
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State | LA
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Zip | 70124-4001
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Country | US
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Telephone | 828-713-0804
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6685
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License Number State | LA
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