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General NPI Number Information
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NPI Number | 1801032917
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Entity Type | Organization
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Legal Business Name | JAMES S GARCELON M.D., APMC
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 1211 COOLIDGE BLVD SUITE 304
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City | LAFAYETTE
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State | LA
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Zip | 70503-2636
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Country | US
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Telephone | 337-236-3030
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Fax | 337-235-0094
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Provider Business Mailing Address
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Address Line | 1211 COOLIDGE BLVD SUITE 304
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City | LAFAYETTE
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State | LA
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Zip | 70503-2636
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Country | US
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Telephone | 337-236-3030
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Fax | 337-235-0094
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES S GARCELON
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Credential | M.D.,
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Telephone | 337-236-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10007R
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License Number State | LA
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