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General NPI Number Information
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NPI Number | 1962452979
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 507 WOOD ST
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City | MONROE
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State | LA
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Zip | 71201-7545
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Country | US
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Telephone | 318-322-0512
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Fax | 318-387-6794
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Provider Business Mailing Address
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Address Line | 507 WOOD ST
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City | MONROE
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State | LA
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Zip | 71201-7545
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Country | US
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Telephone | 318-322-0512
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Fax | 318-387-6794
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MR. DAVID A HEBERT
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Credential | M.D.
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Telephone | 318-322-0512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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