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General NPI Number Information
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NPI Number | 1023859931
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Entity Type | Organization
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Legal Business Name | WESTSIDE CONSULTANTS GROUP LLC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 9422 OLD HERMITAGE PKWY
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City | BATON ROUGE
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State | LA
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Zip | 70810-6892
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Country | US
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Telephone | 225-377-9121
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Fax |
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Provider Business Mailing Address
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Address Line | 9422 OLD HERMITAGE PKWY
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City | BATON ROUGE
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State | LA
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Zip | 70810-6892
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Country | US
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Telephone | 225-377-9121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARYON ANTHONY
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Credential |
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Telephone | 225-330-2059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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