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General NPI Number Information
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NPI Number | 1982194817
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Entity Type | Organization
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Legal Business Name | ACCORD REHABILITATION PART B PRACTICE
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 59213 RIVERWEST DR.
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City | PLAQUEMINE
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State | LA
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Zip | 70764
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Country | US
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Telephone | 225-687-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 59213 RIVERWEST DR.
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City | PLAQUEMINE
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State | LA
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Zip | 70764
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Country | US
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Telephone | 225-687-8100
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JULENE MCALISTER
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Credential |
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Telephone | 225-687-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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