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General NPI Number Information
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NPI Number | 1508017401
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Entity Type | Organization
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Legal Business Name | BAYOU MEDICAL STAFFING, LLC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 504 W 2ND ST STE 1
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City | THIBODAUX
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State | LA
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Zip | 70301-3000
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Country | US
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Telephone | 985-449-0711
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Fax | 985-449-0713
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Provider Business Mailing Address
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Address Line | 504 W 2ND ST STE 1
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City | THIBODAUX
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State | LA
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Zip | 70301-3000
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Country | US
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Telephone | 985-449-0711
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Fax | 985-449-0713
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Authorized Official
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Title or Position | CEO
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Name | MR. DONALD LIRETTE
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Credential |
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Telephone | 985-580-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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