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General NPI Number Information
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NPI Number | 1528973799
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Entity Type | Organization
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Legal Business Name | ACADIANA RADIOLOGY GROUP
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 539 E PRUDHOMME ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-6499
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Country | US
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Telephone | 337-948-3011
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Fax | 706-596-6704
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Provider Business Mailing Address
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Address Line | PO BOX 4628
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City | JACKSON
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State | MS
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Zip | 39296-4628
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Country | US
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Telephone | 866-264-3435
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Fax | 706-596-6704
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Authorized Official
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Title or Position | DIRECTOR
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Name | GERARD A. BALLANCO JR.
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Credential | MD
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Telephone | 337-942-6883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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