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General NPI Number Information
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NPI Number | 1427928894
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Entity Type | Organization
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Legal Business Name | BAYOU SPECTRUM THERAPY, LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 19 WESTPARK CT
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City | NEW ORLEANS
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State | LA
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Zip | 70114-8905
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Country | US
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Telephone | 504-758-7351
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Fax |
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Provider Business Mailing Address
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Address Line | 2432 JEANNE ST
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City | MARRERO
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State | LA
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Zip | 70072-6452
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID GAINES
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Credential |
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Telephone | 504-758-7351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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