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General NPI Number Information
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NPI Number | 1770603094
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Entity Type | Organization
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Legal Business Name | ST. LANDRY PARISH COMMUNITY ACTION AGENCY
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1065 HIGHWAY 749 STE E P.O. DRAWER 1510
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City | OPELOUSAS
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State | LA
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Zip | 70570-0005
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Country | US
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Telephone | 337-948-3651
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Fax | 337-948-4153
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Provider Business Mailing Address
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Address Line | 1065 HIGHWAY 749 STE E P.O. DRAWER 1510
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City | OPELOUSAS
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State | LA
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Zip | 70570-0005
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Country | US
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Telephone | 337-948-3651
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Fax | 337-948-4153
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DONALD ROBINSON SR.
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Credential |
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Telephone | 337-948-4119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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