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General NPI Number Information
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NPI Number | 1487369302
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Entity Type | Organization
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Legal Business Name | PATRIOT REHAB SERVICES-NEW IBERIA, LLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 532 JEFFERSON TER
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City | NEW IBERIA
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State | LA
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Zip | 70560-4948
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Country | US
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Telephone | 337-654-3980
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Fax |
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Provider Business Mailing Address
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Address Line | 8280 YMCA PLAZA DR STE B
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City | BATON ROUGE
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State | LA
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Zip | 70810-0927
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Country | US
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Telephone | 225-970-7070
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JAMES MORGAN
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Credential |
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Telephone | 337-603-8130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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