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NPI 1235139213

NPI 1235139213 : MEDICAL MANAGEMENT OPTIONS, INC. : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1235139213
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL MANAGEMENT OPTIONS, INC. 
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Dates
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    Enumeration Date     |    07/29/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4428 NORTH BLVD 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70806-3917
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    Country              |    US
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    Telephone            |    225-334-9063
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    Fax                  |    225-334-0959
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Provider Business Mailing Address
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    Address Line         |    728 NORTH BLVD 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70802-5724
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    Country              |    US
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    Telephone            |    225-293-6774
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    Fax                  |    225-291-9229
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. ROBERT L MILLER 
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    Credential           |    
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    Telephone            |    225-293-6774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    LA
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