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General NPI Number Information
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NPI Number | 1275818908
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Entity Type | Organization
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Legal Business Name | ACCESS HEALTH LOUISIANA
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2801 BRUIN DRIVE
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City | KENNER
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State | LA
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Zip | 70065-2473
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Country | US
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Telephone | 504-303-6676
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Fax | 504-575-3691
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Provider Business Mailing Address
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Address Line | 2900 INDIANA AVE
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City | KENNER
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State | LA
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Zip | 70065-4605
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Country | US
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Telephone | 504-575-3712
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Fax | 504-575-3691
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK KEISER
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Credential |
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Telephone | 504-575-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 2742
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD.08844R
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | LA
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