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General NPI Number Information
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NPI Number | 1154105286
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Entity Type | Organization
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Legal Business Name | BALDWIN SUPPORTIVE HOUSING SERVICE
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 7212 WARFIELD ST
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City | NEW ORLEANS
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State | LA
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Zip | 70126-4258
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Country | US
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Telephone | 504-460-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 6665 DORCHESTER ST
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City | NEW ORLEANS
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State | LA
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Zip | 70126-1729
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Country | US
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Telephone | 504-314-5532
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Fax |
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Authorized Official
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Title or Position | HOMEMAKER
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Name | CARNELL KENT BALDWIN
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Credential |
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Telephone | 504-314-5532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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