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Individual
ROBERT E DECOUX JR.
Active
Individual
ROBERT E DECOUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
07001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012512
—
MS
01
—
100002670
RAILROAD MEDICARE
—
01
—
1558935
AMERICAN ADMIN GROUP
MS
Enumeration date
08/03/2006
Last updated
03/01/2017
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