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General NPI Number Information
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NPI Number | 1134077522
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Entity Type | Organization
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Legal Business Name | BAYOU SPORTS MEDICINE LLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 153 S ELM ST STE 300
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City | HAUGHTON
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State | LA
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Zip | 71037-9609
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Country | US
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Telephone | 318-200-0717
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Fax |
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Provider Business Mailing Address
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Address Line | 153 S ELM ST STE 300
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City | HAUGHTON
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State | LA
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Zip | 71037-9609
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Country | US
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Telephone | 318-200-0717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM B ADAMS
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Credential | MD
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Telephone | 318-200-0717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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