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General NPI Number Information
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NPI Number | 1427055193
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Entity Type | Organization
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Legal Business Name | RED RIVER REHAB, LLC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 1646 MILITARY HWY
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City | PINEVILLE
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State | LA
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Zip | 71360-5042
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Country | US
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Telephone | 318-443-9305
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Fax | 318-443-3143
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Provider Business Mailing Address
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Address Line | 1646 MILITARY HWY
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City | PINEVILLE
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State | LA
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Zip | 71360-5042
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Country | US
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Telephone | 318-443-9305
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Fax | 318-443-3143
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Authorized Official
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Title or Position | ADMINISTER
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Name | LAWRENCE CLAIBORNE LANFORD
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Credential |
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Telephone | 318-446-6169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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