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General NPI Number Information
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NPI Number | 1740578525
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Entity Type | Organization
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Legal Business Name | KENNETH J. LABORDE, M.D. APMC
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 1000 W PINHOOK RD SUITE 302
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City | LAFAYETTE
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State | LA
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Zip | 70503-2460
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Country | US
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Telephone | 337-232-8230
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Fax | 337-232-9112
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Provider Business Mailing Address
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Address Line | 1000 W PINHOOK RD SUITE 302
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City | LAFAYETTE
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State | LA
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Zip | 70503-2460
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Country | US
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Telephone | 337-232-8230
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Fax | 337-232-9112
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH J. LABORDE
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Credential | M. D.
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Telephone | 337-232-8230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 013814
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License Number State | LA
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