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General NPI Number Information
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NPI Number | 1033070180
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Entity Type | Organization
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Legal Business Name | HOUMA ORTHOPEDIC CLINIC AMC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 107 MARYLAND DR
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City | LULING
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State | LA
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Zip | 70070-2163
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Country | US
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Telephone | 985-868-1540
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Fax | 985-873-2968
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Provider Business Mailing Address
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Address Line | 1001 SCHOOL ST
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City | HOUMA
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State | LA
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Zip | 70360-4691
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Country | US
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Telephone | 985-868-1540
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Fax | 985-873-2968
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Authorized Official
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Title or Position | CONTROLLER
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Name | SHAWN TEMPLET
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Credential |
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Telephone | 985-868-1540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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