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General NPI Number Information
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NPI Number | 1780655258
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Entity Type | Individual
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Provider Name | BRUCE ACHILLES GERMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 3530 HOUMA BLVD STE 203
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City | METAIRIE
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State | LA
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Zip | 70006-4202
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Country | US
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Telephone | 504-455-1816
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Fax | 504-887-9098
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Provider Business Mailing Address
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Address Line | 811 BURGUNDY ST NEW ORLEANS
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City | NEW ORLEANS
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State | LA
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Zip | 70116-3061
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Country | US
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Telephone | 504-523-2559
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Fax | 504-887-9098
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 06635R
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License Number State | LA
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