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General NPI Number Information
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NPI Number | 1497119481
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Entity Type | Organization
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Legal Business Name | ACADIANA HEALTHCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 1112 N UNIVERSITY AVE
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City | LAFAYETTE
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State | LA
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Zip | 70506-1000
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Country | US
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Telephone | 337-345-5644
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Fax | 337-703-4329
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Provider Business Mailing Address
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Address Line | PO BOX 93335
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City | LAFAYETTE
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State | LA
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Zip | 70509-3335
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Country | US
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Telephone | 337-345-5644
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Fax | 337-703-4329
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LISA A GRIFFIN
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Credential | APRN
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Telephone | 337-345-5644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP08077
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License Number State | LA
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