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General NPI Number Information
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NPI Number | 1912886615
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Entity Type | Organization
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Legal Business Name | BADEAUX MEDICAL GROUP
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1270 ATTAKAPAS DR STE 402
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City | OPELOUSAS
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State | LA
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Zip | 70570-6557
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Country | US
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Telephone | 337-948-4030
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Fax | 888-720-0474
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Provider Business Mailing Address
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Address Line | 1270 ATTAKAPAS DR STE 402
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City | OPELOUSAS
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State | LA
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Zip | 70570-6557
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Country | US
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Telephone | 337-948-4030
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Fax | 888-720-0474
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. DAMIAN BADEAUX
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Credential | MD
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Telephone | 337-948-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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