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General NPI Number Information
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NPI Number | 1699881847
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Entity Type | Organization
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Legal Business Name | LTAC OF ACADIANA
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 310 YOUNGSVILLE HWY
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City | LAFAYETTE
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State | LA
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Zip | 70508-4524
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Country | US
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Telephone | 337-839-9880
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Fax | 337-769-1545
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Provider Business Mailing Address
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Address Line | 310 YOUNGSVILLE HWY
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City | LAFAYETTE
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State | LA
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Zip | 70508-4524
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Country | US
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Telephone | 337-839-9880
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Fax | 337-769-1545
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES HAMPTON MORGAN
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Credential |
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Telephone | 337-769-2036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 591
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License Number State | LA
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