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General NPI Number Information
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NPI Number | 1831054071
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Entity Type | Organization
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Legal Business Name | SWLA CENTER FOR HEALTH SERVICES
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 200 LA RUE FRANCE
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City | LAFAYETTE
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State | LA
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Zip | 70508-3104
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Country | US
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Telephone | 337-769-9451
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Fax | 337-769-9460
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Provider Business Mailing Address
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Address Line | 2000 OPELOUSAS ST
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City | LAKE CHARLES
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State | LA
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Zip | 70601-2641
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Country | US
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Telephone | 337-439-9983
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Fax | 337-439-8898
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | JAMYA MOUTON
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Credential |
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Telephone | 337-769-9451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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