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General NPI Number Information
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NPI Number | 1982763074
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Entity Type | Individual
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Provider Name | JOHN KESSELS M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 16300 HIGHWAY 1085
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City | COVINGTON
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State | LA
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Zip | 70433-7227
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Country | US
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Telephone | 985-845-9000
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Fax | 985-845-9003
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Provider Business Mailing Address
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Address Line | PO BOX 1725
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City | KENNER
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State | LA
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Zip | 70063-1725
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Country | US
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Telephone | 985-845-9000
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Fax | 985-845-9003
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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 | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 021259
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License Number State | LA
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