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General NPI Number Information
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NPI Number | 1033257423
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Entity Type | Organization
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Legal Business Name | MEDXCEL OCCUPATIONAL MEDICINE
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 4401 CHEMIN METAIRE PKWY
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-6684
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Country | US
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Telephone | 337-893-0788
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Fax | 337-893-0787
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Provider Business Mailing Address
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Address Line | 4401 CHEMIN METAIRE PKWY
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-6684
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Country | US
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Telephone | 337-856-7500
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Fax | 337-893-0787
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Authorized Official
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Title or Position | OWNER
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Name | MR. SCOTT DESORMEAUX
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Credential |
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Telephone | 337-277-7464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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