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General NPI Number Information
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NPI Number | 1568865376
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Entity Type | Organization
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Legal Business Name | ACADIA WOUND CARE AND HYPERBARICS
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 1325 WRIGHT AVE SUITE G
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City | CROWLEY
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State | LA
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Zip | 70526-2226
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Country | US
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Telephone | 337-788-2014
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 WRIGHT AVE SUITE G
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City | CROWLEY
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State | LA
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Zip | 70526
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Country | US
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Telephone | 337-788-2014
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Fax |
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Authorized Official
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Title or Position | OWNER/STAFF PHYSICIAN
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Name | DR. CHRISTOPHER LEE SANDERS
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Credential | M.D.
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Telephone | 337-788-2014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 023210
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License Number State | LA
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