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General NPI Number Information
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NPI Number | 1972589448
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Entity Type | Individual
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Provider Name | JAMES L CONNOLLY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1420 N CAUSEWAY BLVD
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City | MANDEVILLE
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State | LA
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Zip | 70471-3104
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Country | US
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Telephone | 985-327-5905
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Fax | 985-200-0840
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Provider Business Mailing Address
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Address Line | 1420 N CAUSEWAY BLVD
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City | MANDEVILLE
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State | LA
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Zip | 70471-3104
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Country | US
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Telephone | 985-327-5905
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Fax | 985-200-0840
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME92995
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | MD205818
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License Number State | LA
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