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General NPI Number Information
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NPI Number | 1871928051
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Entity Type | Organization
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Legal Business Name | SOINE MEDICAL ENTERPRISES, LLC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1441 OCHSNER BLVD
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City | COVINGTON
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State | LA
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Zip | 70433-8110
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Country | US
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Telephone | 985-400-5551
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Fax | 985-400-5428
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Provider Business Mailing Address
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Address Line | 1441 OCHSNER BLVD
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City | COVINGTON
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State | LA
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Zip | 70433-8110
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Country | US
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Telephone | 985-400-5551
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Fax | 985-400-5428
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIK JOHN SOINE
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Credential | M.D.
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Telephone | 504-621-7158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD203205
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License Number State | LA
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