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General NPI Number Information
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NPI Number | 1932533882
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Entity Type | Organization
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Legal Business Name | HOUMA DIGESTIVE HEALTH SPECIALISTS
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 1026 SCHOOL ST
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City | HOUMA
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State | LA
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Zip | 70360-4630
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Country | US
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Telephone | 985-601-2662
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Fax | 985-601-2644
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Provider Business Mailing Address
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Address Line | 1026 SCHOOL ST
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City | HOUMA
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State | LA
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Zip | 70360-4630
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Country | US
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Telephone | 985-601-2662
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Fax | 985-601-2644
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Authorized Official
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Title or Position | OWNER
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Name | NATHANIEL SCOTT WINSTEAD
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Credential | M.D.
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Telephone | 985-601-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 025020
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License Number State | LA
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