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NPI Code Detail

MEDICARE: AMAN CHABKOUN

MEDICARE: AMAN CHABKOUN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2171M00000XCase Manager/Care Coordinator
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1316393234
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAN CHABKOUN
Provider Business Mailing Address
First Line : 700 PUJO ST STE A
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-4378
Country : US
Telephone Number : 337-436-6622
Fax Number :
Provider Business Practice Location Address
First Line : 700 PUJO ST STE A
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-4378
Country : US
Telephone Number : 337-436-6622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2016
Last Update Date : 12/18/2019

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Directions to “ AMAN CHABKOUN ” Practice Location

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