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General NPI Number Information
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NPI Number | 1194470906
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Entity Type | Organization
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Legal Business Name | POST TRAUMA INSTITUTE OF LOUISIANA
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 11911 JUSTICE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70816-2373
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Country | US
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Telephone | 225-751-5412
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Fax | 225-751-5847
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Provider Business Mailing Address
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Address Line | PO BOX 83814
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City | BATON ROUGE
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State | LA
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Zip | 70884-3814
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Country | US
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Telephone | 225-361-8225
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Fax | 225-751-5847
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. LAWRENCE SULLIVAN SALONE
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Credential | PHD
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Telephone | 225-361-8225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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