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General NPI Number Information
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NPI Number | 1023822293
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Entity Type | Organization
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Legal Business Name | ACADIANA PRACTITIONERS LLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 331 S MAIN ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-6137
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Country | US
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Telephone | 337-447-4027
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Fax | 337-585-2674
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Provider Business Mailing Address
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Address Line | 1119 PRUDHOMME CIR
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City | OPELOUSAS
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State | LA
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Zip | 70570-6516
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Country | US
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Telephone | 337-447-4027
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Fax | 337-585-2674
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Authorized Official
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Title or Position | MANAGER
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Name | TAYLOR STEVENS
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Credential |
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Telephone | 337-447-4027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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