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General NPI Number Information
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NPI Number | 1871719823
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Entity Type | Organization
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Legal Business Name | JOHN R. BUDDEN, M.D. APMC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 2625 NORTH DR
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City | ABBEVILLE
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State | LA
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Zip | 70510-4042
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Country | US
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Telephone | 337-289-9212
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Fax | 337-289-5964
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Provider Business Mailing Address
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Address Line | 1103 KALISTE SALOOM RD SUITE 310
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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 | 337-289-9212
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Fax | 337-289-5964
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | DR. JOHN ROWLAND BUDDEN
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Credential | M.D.
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Telephone | 337-289-9212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD.016582
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License Number State | LA
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