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General NPI Number Information
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NPI Number | 1164646568
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Entity Type | Organization
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Legal Business Name | THE NEW Y OU REINTEGRATION P ROJECT, INC
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/23/2007
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Provider Practice Location Address
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Address Line | 1442 KING WALL DR
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City | BATON ROUGE
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State | LA
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Zip | 70810-3231
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Country | US
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Telephone | 225-769-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 1442 KING WALL DR
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City | BATON ROUGE
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State | LA
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Zip | 70810-3231
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Country | US
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Telephone | 225-769-4611
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELISKA F. ETIENNE
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Credential |
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Telephone | 225-769-4611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 11767
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License Number State | LA
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