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General NPI Number Information
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NPI Number | 1831695253
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Entity Type | Organization
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Legal Business Name | A&G PEDIATRICS LLC
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 3001 DIVISION ST. SUITE 206
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-465-9898
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Fax | 504-465-9499
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Provider Business Mailing Address
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Address Line | 3001 DIVISION ST. SUITE 206
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City | METAIRIE
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State | LA
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Zip | 70002
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Country | US
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Telephone | 504-465-9898
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Fax | 504-465-9499
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARTURO G GASTANADUY
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Credential | MD
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Telephone | 504-465-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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