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General NPI Number Information
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NPI Number | 1760195283
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Entity Type | Organization
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Legal Business Name | AGAPE THERAPY LLC
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 705 S MORGAN AVE STE A
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City | BROUSSARD
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State | LA
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Zip | 70518-4951
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Country | US
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Telephone | 337-258-3683
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Fax |
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Provider Business Mailing Address
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Address Line | 705 S MORGAN AVE STE A
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City | BROUSSARD
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State | LA
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Zip | 70518-4951
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE PELTIER
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Credential |
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Telephone | 337-252-7449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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