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General NPI Number Information
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NPI Number | 1982462834
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Entity Type | Individual
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Provider Name | ALEXIS MONTET
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Gender | Female
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 811 ALBERTSON PKWY STE J
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City | BROUSSARD
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State | LA
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Zip | 70518-5256
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Country | US
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Telephone | 337-330-8553
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 LA HWY 343
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City | MAURICE
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State | LA
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Zip | 70555-3111
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Country | US
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Telephone | 337-247-3538
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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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 163385
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License Number State | LA
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