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General NPI Number Information
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NPI Number | 1568437523
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Entity Type | Organization
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Legal Business Name | THOMAS J. LANDRY & ASSOCIATES, INC
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 600 RUE DE BRILLE
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City | NEW IBERIA
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State | LA
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Zip | 70563-2122
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Country | US
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Telephone | 337-364-5467
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Fax | 337-365-3233
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Provider Business Mailing Address
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Address Line | 600 RUE DE BRILLE
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City | NEW IBERIA
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State | LA
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Zip | 70563-2122
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Country | US
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Telephone | 337-364-5467
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Fax | 337-365-3233
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | THOMAS J. LANDRY
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Credential | P.T.
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Telephone | 337-364-5467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00304
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License Number State | LA
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