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General NPI Number Information
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NPI Number | 1013899541
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Entity Type | Organization
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Legal Business Name | LOUISIANA OPPORTUNITY ZONE FUND
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 9373 BARINGER FOREMAN RD BLDG 2
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City | BATON ROUGE
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State | LA
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Zip | 70817-6200
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Country | US
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Telephone | 225-304-6476
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Fax | 225-755-2147
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Provider Business Mailing Address
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Address Line | 9373 BARINGER FOREMAN RD BLDG 2
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City | BATON ROUGE
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State | LA
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Zip | 70817-6200
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Country | US
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Telephone | 225-304-6476
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Fax | 225-755-2147
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Authorized Official
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Title or Position | MANAGER
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Name | ROBERT JOSEPH LANDRY III
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Credential |
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Telephone | 225-304-6476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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