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General NPI Number Information
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NPI Number | 1154455970
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Entity Type | Organization
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Legal Business Name | FIRST STAGES, INCORPORATED
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3445 N CAUSEWAY BLVD STE 317
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City | METAIRIE
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State | LA
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Zip | 70002-3734
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Country | US
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Telephone | 504-837-7966
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Fax | 504-837-7615
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Provider Business Mailing Address
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Address Line | 3445 N CAUSEWAY BLVD STE 317
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City | METAIRIE
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State | LA
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Zip | 70002-3734
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Country | US
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Telephone | 504-837-7966
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Fax | 504-837-7615
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SHARONDA BAHAM RUBIN
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Credential | RSW, MSW
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Telephone | 504-837-7699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | CM0007179
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License Number State | LA
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