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General NPI Number Information
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NPI Number | 1275989709
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Entity Type | Organization
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Legal Business Name | ROCK BRIDGE TRAINING INSTITUTE LLC
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 200 N THOMAS DR STE 14
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City | SHREVEPORT
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State | LA
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Zip | 71107-6555
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Country | US
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Telephone | 318-219-5779
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 BONN ST
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City | BOSSIER CITY
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State | LA
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Zip | 71112-2011
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Country | US
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Telephone | 318-762-4988
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Fax |
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Authorized Official
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Title or Position | EXEC OFFICER
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Name | MS. FELICIA POSEY
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Credential |
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Telephone | 318-219-5779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | LA
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