Download - Lafayette Data
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8/20/2019 Lafayette Data
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First Name Last Name Professional Title Gender
Martin F Abbert MD Male
Ryan D Loyd DO Male
Payton G Brown MD
David L Alexander DDS Male
Scott A Reef DDS Male
Harry D Shull r MD Male
Sue A Leu!ch"e MD Fe#ale
Maurice P Lord $i DDS Male
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8/20/2019 Lafayette Data
2/18
Oce Name Address City
%&' ( )*th St + ),& Lafayette
Arnett $#a-in- %&' ( )*th St + ),) Lafayette
%&' ( )*th St + ),& Lafayette
Periodontal A!!ociate! %&' ( )*th St + .,. Lafayette
Periodontal A!!ociate! %&' ( )*th St + .,. Lafayette
/aba!h 0alley Alliance %&' ( )*th St + ),& Lafayette
%&' ( )*th St Lafayette
%&' ( )*th St + .,, Lafayette
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8/20/2019 Lafayette Data
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State ZIP Code ZIP Four County Metro Area Phone Numer
$( %12,% )3'* 4$PP56A(O5 71*'8 %%192.&2
$( %12,% )3'* 4$PP56A(O5 71*'8 %%393,,,
$( %12,% )3'* 4$PP56A(O5 71*'8 %%192.&2
$( %12,% )32. 4$PP56A(O5 71*'8 %%192.&2
$( %12,% )32. 4$PP56A(O5 71*'8 %%192.&2
$( %12,% )3'* 4$PP56A(O5 71*'8 %%*9*%,,
$( %12,% )32' 4$PP56A(O5 71*'8 %%192.&2
$( %12,% )32. 4$PP56A(O5 71*'8 %%19*3'3
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8/20/2019 Lafayette Data
4/18
Fa! Numer Numer Of "m#loyees Sales $olume
. :',,;,,, 9 & Million
. :',,;,,, 9 & Million
. :',,;,,, 9 & Million
% :',,;,,, 9 & Million
% :',,;,,, 9 & Million
. :',,;,,, 9 & Million
. :',,;,,, 9 & Million
% :',,;,,, 9 & Million
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8/20/2019 Lafayette Data
5/18
Primary SIC Code Primary SIC %escri#tion Sic
3,&&9,& Phy!ician! < Sur-eon!
3,&&9,& Phy!ician! < Sur-eon!
3,&&9,& Phy!ician! < Sur-eon!
3,)&9,& Denti!t!
3,)&9,& Denti!t!
3,&&9,& Phy!ician! < Sur-eon!
3,&&9,& Phy!ician! < Sur-eon!
3,)&9,& Denti!t!
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8/20/2019 Lafayette Data
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Sic %escri#tion Franchise Code
PS=6H$A4R=
PA$( MA(AG5M5(4
P5R$ODO(4$6S
P5R$ODO(4$6S
PS=6H$A4R=
(5>ROLOG=
G5(5RAL D5(4$S4R=
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8/20/2019 Lafayette Data
7/18
Franchise S#ecialty %esc & Franchise S#ecialty %esc '
PS=6H$A4R=
PA$( MA(AG5M5(4 $(45R(AL M5D$6$(5
P5R$ODO(4$6S
P5R$ODO(4$6S
PS=6H$A4R=
(5>ROLOG= PS=6H$A4R=
G5(5RAL D5(4$S4R=
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8/20/2019 Lafayette Data
8/18
Franchise S#ecialty %esc ( Franchise S#ecialty %esc )
O4H5R SP56$AL4$5S OS45OPA4H= 7D?O?8
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8/20/2019 Lafayette Data
9/18
Franchise S#ecialty %esc * Franchise S#ecialty %esc + Ai Numer
%)13'%).2
*,),*,2&'
1&&*3'2'&
1,,&%1'.&
2*,%23%&3
%.%'2*332
%..21*),)
%)')***'1
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8/20/2019 Lafayette Data
10/18
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8/20/2019 Lafayette Data
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Secondary S#ecialty Ty#e Of Practice
O
O
O
O
O
O
(eurolo-y O
O
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8/20/2019 Lafayette Data
12/18
Oce Mana-er First Name Oce Mana-er Last Name
Gloria Royer
Dou- ac"!on
Gloria Royer
Gloria Royer
Gloria Royer
Gloria Royer
ulie Ply
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8/20/2019 Lafayette Data
13/18
.oard Certi/ed Fla- A-e 0ear Graduated
1) &21,
'& &22&
13 &2*%
1* &2**
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8/20/2019 Lafayette Data
14/18
Medical School Prescri#tions Per 1ee2
$( >niver!ity School Of Denti!try
$( >niver!ity School Of Denti!try
$( >niver!ity School Of Denti!try
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8/20/2019 Lafayette Data
15/18
3os#ital Licensed in State & Licensed in State '
$(
$(
$(
$(
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8/20/2019 Lafayette Data
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Licensed in State ( Acce#ts Ne4 Patients
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8/20/2019 Lafayette Data
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Acce#ted 3ealth Plans Acce#ts Medicare
D5L4A D5(4AL; D5L4A D5(4AL PR5M$5R
A54(A; 6HO$65 PL>S POS $$; 6$G(A; GR5A4/5S4 H5AL4H6AR596$G(A PPO;5MBL5MH5AL4H; 5MBL5M H5AL4H; M5D$6A$D;M5D$6AR5; M5D$6AR5 M6R
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8/20/2019 Lafayette Data
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Acce#ts Medicaid