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General NPI Number Information
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NPI Number | 1801552104
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Entity Type | Organization
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Legal Business Name | DAVID SPENCE TEXADA, MD
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 3901 HOUMA BLVD STE 108
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City | METAIRIE
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State | LA
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Zip | 70006-2930
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Country | US
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Telephone | 504-779-3507
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Fax | 504-779-3508
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Provider Business Mailing Address
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Address Line | 3901 HOUMA BLVD STE 108
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City | METAIRIE
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State | LA
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Zip | 70006-2930
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Country | US
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Telephone | 504-779-3507
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Fax | 504-779-3508
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARIE T PATRON
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Credential |
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Telephone | 504-782-8267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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