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General NPI Number Information
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NPI Number | 1346752938
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Entity Type | Organization
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Legal Business Name | ACADIAN URGENT CARE CENTER, LLC
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 600 N LEWIS ST
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City | NEW IBERIA
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State | LA
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Zip | 70563-2043
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Country | US
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Telephone | 337-519-1999
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Fax | 337-229-1159
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Provider Business Mailing Address
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Address Line | 7713 SUGAR OAKS RD
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City | NEW IBERIA
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State | LA
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Zip | 70563-8666
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Country | US
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Telephone | 337-519-1999
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Fax | 337-229-1159
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | DR. WILFORD PERRY STOKES JR.
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Credential | MD
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Telephone | 337-519-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | LA
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