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General NPI Number Information
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NPI Number | 1386039071
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Entity Type | Organization
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Legal Business Name | GUERRERO REHABILITATION LLC
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 8297 HIGHWAY 165
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City | COLUMBIA
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State | LA
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Zip | 71418-4339
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Country | US
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Telephone | 318-649-5111
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Fax | 318-502-5040
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Provider Business Mailing Address
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Address Line | PO BOX 52
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City | COLUMBIA
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State | LA
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Zip | 71418-0052
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Country | US
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Telephone | 318-649-5111
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Fax | 318-502-5040
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST, OWNER
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Name | MR. LANDRY CHAD GUERRERO
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Credential | LOTR
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Telephone | 318-805-4862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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