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General NPI Number Information
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NPI Number | 1962391789
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Entity Type | Individual
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Provider Name | GRANT EMFINGER
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 8050 W JUDGE PEREZ DR
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City | CHALMETTE
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State | LA
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Zip | 70043-1734
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Country | US
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Telephone | 504-304-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 5245 CHAMBERLAIN DR
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City | NEW ORLEANS
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State | LA
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Zip | 70122-2529
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Country | US
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Telephone | 337-501-2320
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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