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NPI 1861334146

NPI 1861334146 : JACOB MORGAN OTR,L : SCOTT, LA

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General NPI Number Information
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    NPI Number           |    1861334146
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    Entity Type          |    Individual 
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    Provider Name        |    JACOB MORGAN OTR,L
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/07/2026
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    Last Update Date     |    04/07/2026
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Provider Practice Location Address
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    Address Line         |    6331 CAMERON ST STE 102 
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    City                 |    SCOTT
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    State                |    LA
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    Zip                  |    70583-5021
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    Country              |    US
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    Telephone            |    337-889-3106
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    Fax                  |    337-504-7453
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Provider Business Mailing Address
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    Address Line         |    108 RUE LOUIS XIV 
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    City                 |    LAFAYETTE
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    State                |    LA
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    Zip                  |    70508-5739
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    Country              |    US
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    Telephone            |    337-889-3106
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    Fax                  |    337-504-7453
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    351283
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    License Number State |    LA
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