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General NPI Number Information
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NPI Number | 1073431581
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Entity Type | Organization
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Legal Business Name | PELICAN AUTISM CENTER OF EXCELLENCE
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 1 OAKLAND RD
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City | KENNER
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State | LA
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Zip | 70065-6615
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Country | US
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Telephone | 504-319-1323
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Fax |
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Provider Business Mailing Address
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Address Line | 4232 WILLIAMS BLVD STE 106-112
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City | KENNER
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State | LA
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Zip | 70065-2271
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Country | US
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Telephone | 504-319-1323
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MOHAMMAD CHEEMA
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Credential | MD
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Telephone | 504-319-1323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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