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General NPI Number Information
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NPI Number | 1841492196
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Entity Type | Individual
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Provider Name | SETH THOMAS BILLIODEAUX MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2770 3RD AVE STE 110
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City | LAKE CHARLES
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State | LA
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Zip | 70601-0404
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Country | US
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Telephone | 337-494-4747
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Fax | 337-494-4773
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Provider Business Mailing Address
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Address Line | P O BOX 122425 DEPT 2425
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City | DALLAS
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State | TX
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Zip | 75312-2425
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Country | US
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Telephone | 337-494-2772
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Fax | 337-494-2928
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD202774
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 202774
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License Number State | LA
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