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General NPI Number Information
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NPI Number | 1043397672
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Entity Type | Organization
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Legal Business Name | CENTER FOR ORTHOPAEDICS
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 250 BEGLIS PKWY SUITE 1
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City | SULPHUR
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State | LA
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Zip | 70663-3500
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Country | US
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Telephone | 337-626-7630
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Fax | 337-626-8409
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Provider Business Mailing Address
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Address Line | PO BOX 1807
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City | LAKE CHARLES
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State | LA
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Zip | 70602-1807
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Country | US
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Telephone | 337-626-7630
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Fax | 337-626-8409
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MARGARET JANSSEN
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Credential |
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Telephone | 337-721-7236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | LA
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Taxonomy #3
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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 | LA
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