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General NPI Number Information
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NPI Number | 1992456404
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Entity Type | Individual
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Provider Name | EMMA BOUDREAUX ARNOLD OT
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Gender | Female
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Dates
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Enumeration Date | 01/17/2022
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 577 W HIGHWAY 30 STE D
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City | GONZALES
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State | LA
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Zip | 70737-4811
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Country | US
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Telephone | 225-465-2233
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Fax | 225-529-2433
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Provider Business Mailing Address
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Address Line | 4324 S SHERWOOD FOREST BLVD STE B170
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City | BATON ROUGE
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State | LA
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Zip | 70816-4481
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Country | US
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Telephone | 225-654-8208
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Fax | 225-465-8823
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 329742
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License Number State | LA
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