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Organization
ACADIANA PRACTITIONERS LLC
Active
Organization
ACADIANA PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN JOSEPH MILLER FNP-C (PRESIDENT)
(337) 447-4027
Entity
Organization
Contact information
Practice address
414 SAIZAN AVENUE, PORT BARRE, LA 70577
(337) 447-4027
(337) 585-2674
Mailing address
2124 HIGHWAY 742, OPELOUSAS, LA 70570-0542
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
2203783812
LA
Other
Enumeration date
12/04/2017
Last updated
06/19/2018
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