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General NPI Number Information
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NPI Number | 1255924122
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Entity Type | Organization
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Legal Business Name | GEAUX BLOOD MOBILE LLC MOBILE BLOOD SERVICES
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 59144 W W HARLEAUX ST
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City | PLAQUEMINE
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State | LA
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Zip | 70764-2967
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Country | US
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Telephone | 225-692-9010
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Fax |
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Provider Business Mailing Address
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Address Line | 59144 W W HARLEAUX ST
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City | PLAQUEMINE
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State | LA
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Zip | 70764-2967
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Country | US
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Telephone | 225-692-9010
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Fax |
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Authorized Official
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Title or Position | PBT INSTRUCTOR MOBILE EXAMINER
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Name | MS. PATRANECE L HAMMOND
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Credential | MLA CLP ASPT PBT SR
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Telephone | 222-692-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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