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General NPI Number Information
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NPI Number | 1598791188
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Entity Type | Organization
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Legal Business Name | OGH IMAGING, LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1341 1-49 S. SERVICE RD
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City | GRAND COTEAU
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State | LA
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Zip | 70541
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Country | US
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Telephone | 337-407-4523
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Fax | 337-210-3031
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Provider Business Mailing Address
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Address Line | PO BOX 437
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City | GRAND COTEAU
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State | LA
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Zip | 70541-0437
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Country | US
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Telephone | 337-407-4523
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Fax | 337-261-2697
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Authorized Official
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Title or Position | DIRECTOR OF IMAGING
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Name | LESSIE DOUCET
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Credential |
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Telephone | 337-407-4523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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