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General NPI Number Information
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NPI Number | 1427098201
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Entity Type | Organization
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Legal Business Name | SURGICARE OF LAKE CHARLES LLC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 2100 LAKE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601
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Country | US
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Telephone | 337-436-6941
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Fax | 337-436-6932
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Provider Business Mailing Address
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Address Line | 2100 LAKE ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-7104
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Country | US
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Telephone | 337-436-6941
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Fax | 337-377-0414
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DINA B LANGLEY
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Credential |
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Telephone | 337-436-6941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AS00010009
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License Number State | LA
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