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NPI 1104258722

NPI 1104258722 : AVAILITY CASE MANAGEMENT SERVICES : PLAQUEMINE, LA

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General NPI Number Information
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    NPI Number           |    1104258722
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    Entity Type          |    Organization 
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    Legal Business Name  |    AVAILITY CASE MANAGEMENT SERVICES 
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Dates
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    Enumeration Date     |    08/06/2013
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    Last Update Date     |    08/06/2013
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Provider Practice Location Address
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    Address Line         |    57935 MCDANIEL ST 
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    City                 |    PLAQUEMINE
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    State                |    LA
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    Zip                  |    70764-2039
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    Country              |    US
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    Telephone            |    225-776-2538
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    57935 MCDANIEL ST 
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    City                 |    PLAQUEMINE
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    State                |    LA
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    Zip                  |    70764-2039
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    Country              |    US
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    Telephone            |    225-776-2538
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRITTANY J BATTISTE 
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    Credential           |    
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    Telephone            |    225-776-2538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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