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General NPI Number Information
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NPI Number | 1053535682
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Entity Type | Organization
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Legal Business Name | FAMILY CARE INC.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 2401 WESTBEND PKWY STE 4070
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City | NEW ORLEANS
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State | LA
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Zip | 70114-2469
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Country | US
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Telephone | 504-363-7449
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Fax | 504-363-7077
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Provider Business Mailing Address
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Address Line | 3520 GENERAL DEGAULLE DR STE 4070
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City | NEW ORLEANS
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State | LA
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Zip | 70114-4025
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Country | US
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Telephone | 504-363-7449
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Fax | 504-363-7077
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Authorized Official
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Title or Position | CEO
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Name | ROBERT SALUS
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Credential | LCSW
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Telephone | 504-363-7449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | ADC10116
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License Number State | LA
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