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General NPI Number Information
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NPI Number | 1952499972
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Entity Type | Organization
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Legal Business Name | DOUROUX PROSTHETIC-ORTHOTIC SERVICES, LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 448 TERRY PKWY SUITE F
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City | TERRYTOWN
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State | LA
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Zip | 70056-2792
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Country | US
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Telephone | 504-368-1477
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Fax | 504-368-1488
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Provider Business Mailing Address
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Address Line | PO BOX 661
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City | DESTREHAN
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State | LA
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Zip | 70047-0661
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Country | US
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Telephone | 504-915-1234
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Fax | 985-307-0054
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Authorized Official
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Title or Position | MANAGER,CO-OWNER
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Name | MS. BERNADETTE BARBARA DOUROUX
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Credential | CERTIFIED PROSTHETIS
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Telephone | 504-368-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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