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General NPI Number Information
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NPI Number | 1538977350
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Entity Type | Organization
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Legal Business Name | CENLA PHYSICIANS HEALTHCARE
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 5101 HIGHWAY 28 E
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City | PINEVILLE
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State | LA
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Zip | 71360-4738
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Country | US
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Telephone | 318-542-4441
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Fax | 318-542-4431
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Provider Business Mailing Address
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Address Line | 4501 JACKSON ST EXT STE C355
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City | ALEXANDRIA
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State | LA
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Zip | 71303-2555
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Country | US
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Telephone | 318-542-4441
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Fax | 318-542-4431
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MOHAMMED SADAT AZIZ
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Credential |
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Telephone | 318-528-5131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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