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General NPI Number Information
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NPI Number | 1972080505
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Entity Type | Individual
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Provider Name | ELIZABETH CATHERINE GAGE NP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 3308 TULANE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7100
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Country | US
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Telephone | 504-821-2601
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 TULANE AVE STE 500
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7400
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Country | US
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Telephone | 504-821-2601
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Fax | 504-267-3014
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP10162
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License Number State | LA
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