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NPI 1831842004

NPI 1831842004 : LAGNIAPPE PHYSICAL THERAPY LLC : YOUNGSVILLE, LA

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General NPI Number Information
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    NPI Number           |    1831842004
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    Entity Type          |    Organization 
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    Legal Business Name  |    LAGNIAPPE PHYSICAL THERAPY LLC 
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Dates
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    Enumeration Date     |    01/28/2022
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    Last Update Date     |    01/31/2022
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Provider Practice Location Address
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    Address Line         |    810 S SAINT BLAISE LN 
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    City                 |    YOUNGSVILLE
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    State                |    LA
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    Zip                  |    70592-5581
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    Country              |    US
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    Telephone            |    732-929-7270
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    810 S SAINT BLAISE LN 
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    City                 |    YOUNGSVILLE
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    State                |    LA
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    Zip                  |    70592-5581
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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    |    OFFICE INCHARGE
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    Name                 |     ARVINDER  SINGH 
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    Credential           |    
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    Telephone            |    609-937-3532
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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       |    
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    License Number State |    
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