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General NPI Number Information
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NPI Number | 1083601298
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Entity Type | Organization
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Legal Business Name | LAHAYE CENTER FOR ADVANCED EYE CARE, APMC
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 4313 I 49 S SERVICE RD
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City | OPELOUSAS
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State | LA
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Zip | 70570-0755
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Country | US
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Telephone | 337-942-2024
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Fax | 337-948-6216
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Provider Business Mailing Address
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Address Line | 4313 I 49 S SERVICE RD
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City | OPELOUSAS
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State | LA
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Zip | 70570-0755
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Country | US
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Telephone | 337-942-2024
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Fax | 337-948-6216
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LEON CLAUDE LAHAYE
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Credential | M.D.
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Telephone | 337-942-2024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 34
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License Number State | LA
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