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General NPI Number Information
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NPI Number | 1093116089
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Entity Type | Organization
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Legal Business Name | CLEAR DIRECTIONS LLC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 4480 GENERAL DE GAULLE DR SUITE # 219
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City | NEW ORLEANS
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State | LA
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Zip | 70131-6941
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Country | US
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Telephone | 504-564-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 4480 GENERAL DE GAULLE DR SUITE # 219
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City | NEW ORLEANS
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State | LA
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Zip | 70131-6941
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Country | US
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Telephone | 504-564-1290
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. TIGER ROBERT RAMON CHAPLAIN
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Credential |
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Telephone | 504-491-4209
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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 | 41473336K
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License Number State | LA
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