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General NPI Number Information
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NPI Number | 1154120491
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Entity Type | Organization
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Legal Business Name | BATON ROUGE CLINIC, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1169 HIGHWAY 19 STE B
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City | SLAUGHTER
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State | LA
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Zip | 70777-3404
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Country | US
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Telephone | 225-570-2257
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Fax | 225-286-4078
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Provider Business Mailing Address
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Address Line | 7373 PERKINS RD
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City | BATON ROUGE
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State | LA
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Zip | 70808-4373
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Country | US
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Telephone | 225-246-9301
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Fax | 225-246-9160
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Authorized Official
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Title or Position | CFO
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Name | SHUNN PHILLIPS
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Credential |
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Telephone | 225-246-9312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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