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General NPI Number Information
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NPI Number | 1881139533
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Entity Type | Organization
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Legal Business Name | CYPRESS POINTE PHYSICIANS NETWORK LLC
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Dates
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Enumeration Date | 01/04/2017
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 42570 S AIRPORT RD
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City | HAMMOND
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State | LA
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Zip | 70403-0946
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Country | US
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Telephone | 985-510-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 42570 S AIRPORT RD
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City | HAMMOND
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State | LA
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Zip | 70403-0946
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GLENDA DOBSON
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Credential |
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Telephone | 985-510-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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