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General NPI Number Information
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NPI Number | 1255128484
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Entity Type | Organization
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Legal Business Name | A & C HEALTH CLINICS LLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3809 AMBASSADOR CAFFERY PKWY STE 120
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City | LAFAYETTE
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State | LA
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Zip | 70503-5275
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Country | US
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Telephone | 337-446-4501
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Fax | 337-361-2144
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Provider Business Mailing Address
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Address Line | 3809 AMBASSADOR CAFFERY PKWY STE 120
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City | LAFAYETTE
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State | LA
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Zip | 70503-5275
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Country | US
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Telephone | 337-446-4501
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Fax | 337-361-2144
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ADAM PORCHE
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Credential |
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Telephone | 337-296-7835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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