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General NPI Number Information
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NPI Number | 1467271940
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Entity Type | Organization
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Legal Business Name | SOUTHWEST LOUISIANA PRIMARY HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 7076 HIGHWAY 93
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City | ARNAUDVILLE
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State | LA
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Zip | 70512-6020
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Country | US
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Telephone | 337-942-3390
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Fax | 337-942-8644
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Provider Business Mailing Address
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Address Line | 8762 HIGHWAY 182
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City | OPELOUSAS
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State | LA
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Zip | 70570-5603
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Country | US
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Telephone | 337-942-3390
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Fax | 337-942-8866
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DODIE LAMOTT
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Credential |
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Telephone | 337-942-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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