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General NPI Number Information
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NPI Number | 1891685368
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Entity Type | Individual
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Provider Name | MADISON ROUSSE AUD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1514 JEFFERSON HWY FL 4
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 504-842-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 1816 HARVEST DR
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City | HOUMA
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State | LA
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Zip | 70360-6083
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Country | US
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Telephone | 985-855-0526
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Fax |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 9939
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License Number State | LA
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