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General NPI Number Information
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NPI Number | 1083504344
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Entity Type | Organization
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Legal Business Name | CANOPY PEDIATRIC CARE LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2235 POYDRAS ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-7575
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Country | US
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Telephone | 504-354-2201
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Fax | 228-342-5366
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Provider Business Mailing Address
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Address Line | 3157 GENTILLY BLVD UNIT 362
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City | NEW ORLEANS
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State | LA
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Zip | 70122-3872
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Country | US
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Telephone | 504-354-2201
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | JENNIFER REBECCA THOMPSON
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Credential | RN
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Telephone | 228-342-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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