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General NPI Number Information
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NPI Number | 1205013000
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Entity Type | Organization
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Legal Business Name | OCEANS BEHAVIORAL HOSPITAL OF OPELOUSAS, LLC
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 1310 HEATHER DR
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City | OPELOUSAS
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State | LA
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Zip | 70570-7714
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Country | US
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Telephone | 337-948-8820
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Fax | 337-948-8821
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Provider Business Mailing Address
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Address Line | 3905 HEDGCOXE RD UNIT 250249
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City | PLANO
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State | TX
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Zip | 75025-0840
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Country | US
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Telephone | 972-464-0022
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Fax | 972-464-0021
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Authorized Official
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Title or Position | C.E.O.
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Name | STUART ARCHER
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Credential |
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Telephone | 972-464-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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