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General NPI Number Information
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NPI Number | 1275700189
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL HEALTHWEST NEW ORLEANS LLC
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3201 WALL BLVD STE B
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City | GRETNA
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State | LA
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Zip | 70056-7876
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Country | US
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Telephone | 504-433-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 15261 W CLUB DELUXE RD
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City | HAMMOND
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State | LA
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Zip | 70403-1220
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Country | US
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Telephone | 985-602-0200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. JOHN E. MILLS
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Credential |
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Telephone | 504-433-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 622
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License Number State | LA
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