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NPI 1427341908

NPI 1427341908 : SHIPS MEDICAL, LLC : OPELOUSAS, LA

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General NPI Number Information
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    NPI Number           |    1427341908
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHIPS MEDICAL, LLC 
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Dates
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    Enumeration Date     |    05/17/2011
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    Last Update Date     |    05/03/2023
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Provider Practice Location Address
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    Address Line         |    413 ROBIN LANE 
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    City                 |    OPELOUSAS
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    State                |    LA
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    Zip                  |    70570
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    Country              |    US
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    Telephone            |    337-942-2822
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    Fax                  |    337-942-5822
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1609 
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    City                 |    OPELOUSAS
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    State                |    LA
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    Zip                  |    70571-1609
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    Country              |    US
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    Telephone            |    504-942-2822
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    Fax                  |    337-942-5822
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     D. HUNTER PERRET 
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    Credential           |    
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    Telephone            |    337-942-2822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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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        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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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        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    
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    License Number State |    
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