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General NPI Number Information
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NPI Number | 1841287901
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Entity Type | Organization
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Legal Business Name | ANESTHESIOLOGY & PAIN CONSULTANTS, LLC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 1103 KALISTE SALOOM RD SUITE 304
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City | LAFAYETTE
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State | LA
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Zip | 70508-5783
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Country | US
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Telephone | 337-988-5646
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Fax | 337-988-4298
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Provider Business Mailing Address
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Address Line | 1103 KALISTE SALOOM RD SUITE 304
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City | LAFAYETTE
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State | LA
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Zip | 70508-5783
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Country | US
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Telephone | 337-988-5646
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Fax | 337-988-4298
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MRS. CRYSTAL BROUSSARD
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Credential |
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Telephone | 337-706-1545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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