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General NPI Number Information
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NPI Number | 1700089752
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Entity Type | Organization
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Legal Business Name | AMEDISYS SP-IN, L.L.C.
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 2866 CHARLESTOWN RD SUITE 105
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City | NEW ALBANY
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State | IN
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Zip | 47150-1978
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Country | US
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Telephone | 812-944-8404
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Fax | 812-944-8719
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6080
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Country | US
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Telephone | 225-292-2031
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Fax | 225-295-9678
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RONALD LABORDE
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Credential |
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Telephone | 225-292-2031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 05-006000-1
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License Number State | IN
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