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General NPI Number Information
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NPI Number | 1528509627
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Entity Type | Organization
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Legal Business Name | BAYOU RETINA ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 444A PADDOCK LN
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City | HOUMA
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State | LA
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Zip | 70360-2490
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Country | US
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Telephone | 985-333-4090
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Fax | 985-333-4091
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Provider Business Mailing Address
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Address Line | 105 BANKER DR
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City | THIBODAUX
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State | LA
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Zip | 70301-8015
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Country | US
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Telephone | 985-492-7868
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SATISH ARORA
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Credential | MD
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Telephone | 985-333-4090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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