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General NPI Number Information
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NPI Number | 1154453140
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Entity Type | Organization
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Legal Business Name | AGUILLARD & ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 CEDAR CREST CT
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City | LAFAYETTE
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State | LA
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Zip | 70501-5525
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Country | US
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Telephone | 337-277-3659
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Fax | 337-233-1300
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Provider Business Mailing Address
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Address Line | 707 CEDAR CREST CT
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City | LAFAYETTE
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State | LA
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Zip | 70501-5525
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Country | US
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Telephone | 337-277-3659
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Fax | 337-233-1300
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | MRS. SANDRA MOREAU AGUILLARD
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Credential | MASTERS EQUIAVENCY
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Telephone | 337-277-3659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 213
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License Number State | LA
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