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General NPI Number Information
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NPI Number | 1912971516
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Entity Type | Organization
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Legal Business Name | KENNETH CHARLES LAFLEUR, M.D.
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 1110 DR AC TERRANCE BLVD SUITE 2
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City | OPELOUSAS
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State | LA
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Zip | 70570-6403
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Country | US
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Telephone | 337-942-3613
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Fax | 337-948-8379
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Provider Business Mailing Address
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Address Line | PO BOX 1090
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City | OPELOUSAS
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State | LA
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Zip | 70571-1090
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Country | US
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Telephone | 337-942-3613
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Fax | 337-948-8379
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH C LAFLEUR
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Credential | M.D.
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Telephone | 337-942-3613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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