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General NPI Number Information
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NPI Number | 1811910862
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Entity Type | Individual
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Provider Name | ARTURO DAVID GONZALEZ-ROMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | DEPARTMENT OF RADIOLOGY 1542 TULANE AVE, BOX T2-2
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City | NEW ORLEANS
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State | LA
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Zip | 70112
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Country | US
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Telephone | 504-568-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 2390 W CONGRESS ST UNIVERSITY HOSPITAL & CLINICS, INTERVENTIONAL RADIOLOGY
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City | LAFAYETTE
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State | LA
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Zip | 70506-4205
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Country | US
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Telephone | 337-261-6000
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Fax | 337-261-6153
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD.13104R
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License Number State | LA
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