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General NPI Number Information
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NPI Number | 1013178144
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Entity Type | Organization
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Legal Business Name | STERLING WELLNESS SOLUTIONS, L.L.C.
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 1200 HOSPITAL DR STE 7
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City | OPELOUSAS
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State | LA
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Zip | 70570-6552
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Country | US
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Telephone | 337-948-1511
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Fax | 337-948-1504
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Provider Business Mailing Address
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Address Line | 210 W MILL ST
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City | CROWLEY
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State | LA
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Zip | 70526-5656
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Country | US
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Telephone | 337-783-7840
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Fax | 337-783-7848
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLAIRE M KELBAUGH
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Credential |
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Telephone | 377-783-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 19D1029799
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License Number State | LA
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