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General NPI Number Information
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NPI Number | 1740362912
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Entity Type | Organization
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Legal Business Name | DOWNTOWN PHYSICAL REHABILITATION
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 160 N 8TH ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-5600
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Country | US
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Telephone | 225-383-5021
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Fax | 225-383-5023
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Provider Business Mailing Address
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Address Line | 160 N 8TH ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-5600
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Country | US
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Telephone | 225-383-5021
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Fax | 225-383-5023
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Authorized Official
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Title or Position | OWNER
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Name | MR. GEOFF LUKE LEJEUNE
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Credential | PT
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Telephone | 225-383-5021
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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 | 02288
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License Number State | LA
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