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General NPI Number Information
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NPI Number | 1295851566
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Entity Type | Organization
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Legal Business Name | HEALTHY CHOICES, LLC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4051 GROOM RD A
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City | BAKER
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State | LA
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Zip | 70714-3517
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Country | US
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Telephone | 225-774-1993
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Fax | 225-774-3431
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Provider Business Mailing Address
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Address Line | PO BOX 52710
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City | BATON ROUGE
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State | LA
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Zip | 70892-2710
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Country | US
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Telephone | 225-774-1993
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Fax | 225-774-3431
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MR. ASHTON T SPEARS
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Credential |
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Telephone | 225-774-1993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 12756
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License Number State | LA
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