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General NPI Number Information
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NPI Number | 1043309016
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Entity Type | Organization
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Legal Business Name | RAPIDES REGIONAL PHYSICIAN GROUP SPECIALTY CARE, LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 501 MEDICAL CENTER DR STE 4A
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8124
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Country | US
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Telephone | 318-449-7650
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Fax | 318-449-7644
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4692
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Country | US
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Telephone | 615-373-7406
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Fax |
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Authorized Official
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Title or Position | GROUP VICE PRESIDENT
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Name | NICHOLAS WADLINGTON
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Credential |
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Telephone | 615-372-7732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease 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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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