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General NPI Number Information
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NPI Number | 1922273812
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Entity Type | Organization
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Legal Business Name | BAUDRY THERAPY CENTER
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 2721 N CAUSEWAY BLVD
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City | METAIRIE
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State | LA
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Zip | 70002-6051
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Country | US
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Telephone | 504-931-0271
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 N CAUSEWAY BLVD
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City | METAIRIE
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State | LA
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Zip | 70002-6051
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Country | US
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Telephone | 504-931-0271
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD ELLIOTT BAUDRY
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Credential | PT, DPT, OCS
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Telephone | 504-931-0271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 01858
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License Number State | LA
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