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General NPI Number Information
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NPI Number | 1871981639
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Entity Type | Organization
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Legal Business Name | ANDRE G. GUETTE, M.D., LLC
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 01/02/2015
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Provider Practice Location Address
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Address Line | 4740 S I 10 SERVICE RD W SUITE 340
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City | METAIRIE
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State | LA
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Zip | 70001-1234
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Country | US
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Telephone | 504-457-0001
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Fax | 504-455-0001
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Provider Business Mailing Address
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Address Line | 4740 S I 10 SERVICE RD W SUITE 340
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City | METAIRIE
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State | LA
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Zip | 70001-1234
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Country | US
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Telephone | 504-457-0001
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Fax | 504-455-0001
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Authorized Official
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Title or Position | CODER AND BILLING
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Name | PAULA HIMES
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Credential | CPC
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Telephone | 504-457-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 012305
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License Number State | LA
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