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General NPI Number Information
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NPI Number | 1427230267
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Entity Type | Organization
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Legal Business Name | ACADIANA REHAB ASSOCIATES INC A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 208 HIDDEN GROVE PL
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City | LAFAYETTE
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State | LA
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Zip | 70503-4329
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Country | US
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Telephone | 337-233-0254
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Fax | 337-233-0254
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Provider Business Mailing Address
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Address Line | PO BOX 81337
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City | LAFAYETTE
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State | LA
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Zip | 70598-1337
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Country | US
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Telephone | 337-233-0254
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Fax | 337-233-5399
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. THOMAS C LABORDE
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Credential | MD
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Telephone | 337-233-0254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | LA
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