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General NPI Number Information
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NPI Number | 1396219101
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Entity Type | Organization
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Legal Business Name | ARC OF ACADIANA, INC
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 1601 EAST B NORTH ST
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City | RAYNE
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State | LA
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Zip | 70578
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Country | US
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Telephone | 337-367-6813
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Fax | 337-367-8301
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Provider Business Mailing Address
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Address Line | 6400 HIGHWAY 90 W
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City | NEW IBERIA
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State | LA
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Zip | 70560-7836
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Country | US
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Telephone | 337-367-6813
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Fax | 337-367-8301
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Authorized Official
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Title or Position | DIRECTOR RESDIENTIAL SERVICES
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Name | BRANDI LEE BOOK STUTES
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Credential |
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Telephone | 337-367-6813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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