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General NPI Number Information
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NPI Number | 1306241310
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Entity Type | Organization
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Legal Business Name | THE FAMILY INSTITUTE OF NEW ORLEANS, LLC
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 701 PAPWORTH AVE SUITE 202
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City | METAIRIE
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State | LA
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Zip | 70005-3010
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Country | US
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Telephone | 504-832-3936
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Fax | 504-286-8106
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Provider Business Mailing Address
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Address Line | 701 PAPWORTH AVE SUITE 202
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City | METAIRIE
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State | LA
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Zip | 70005-3010
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Country | US
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Telephone | 504-832-3936
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Fax | 504-286-8106
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MATT MORRIS
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Credential | PHD
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Telephone | 504-655-6008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4035
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License Number State | LA
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