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General NPI Number Information
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NPI Number | 1558258681
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Entity Type | Organization
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Legal Business Name | CENTER ONE MEDICAL OF LAFAYETTE, LLC
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1700 KALISTE SALOOM RD BUILDING 6 STE 600
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City | LAFAYETTE
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State | LA
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Zip | 70508-6188
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Country | US
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Telephone | 337-252-3099
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Fax | 337-252-3098
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Provider Business Mailing Address
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Address Line | 3900 CLARK RD STE L2
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City | SARASOTA
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State | FL
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Zip | 34233-2375
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Country | US
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Telephone | 941-210-0248
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Fax |
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Authorized Official
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Title or Position | MD
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Name | JOHN YEE
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Credential | MD
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Telephone | 386-214-3170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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