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General NPI Number Information
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NPI Number | 1073049607
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Entity Type | Organization
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Legal Business Name | VNP SERVICES LLC
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 1801 MANHATTAN BLVD
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City | HARVEY
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State | LA
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Zip | 70058-7300
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Country | US
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Telephone | 504-460-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 LAKE ONTARIO DR
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City | HARVEY
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State | LA
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Zip | 70058-5517
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Country | US
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Telephone | 504-460-7510
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. VALECIA VAUGHN
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Credential | PHD, APRN
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Telephone | 504-460-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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