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General NPI Number Information
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NPI Number | 1184587065
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Entity Type | Organization
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Legal Business Name | CARE ELEVEN PROVIDER DIRECT SERVICES OF LOUISIANA, LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3333 SAINT CLAUDE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70117-6142
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Country | US
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Telephone | 504-565-7882
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Fax | 504-324-7791
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Provider Business Mailing Address
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Address Line | 3333 SAINT CLAUDE AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70117-6142
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Country | US
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Telephone | 504-565-7882
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Fax | 504-324-7791
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Authorized Official
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Title or Position | CEO/CMO
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Name | STEPHEN TODD JONES
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Credential | MD
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Telephone | 504-565-7882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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