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General NPI Number Information
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NPI Number | 1801466172
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Entity Type | Individual
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Provider Name | ELIAS EUGENE VOLK MD
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Gender | Male
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 400 RUSSELL AVE BLDG 41
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1006
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Country | US
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Telephone | 150-467-8366
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RUSSELL AVE BLDG 41
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1006
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Country | US
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Telephone |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0016035847
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101276114
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License Number State | VA
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