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General NPI Number Information
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NPI Number | 1306828561
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Entity Type | Organization
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Legal Business Name | NES LOUISIANA, INC.
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 433 PLAZA ST
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City | BOGALUSA
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State | LA
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Zip | 70427-3729
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Country | US
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Telephone | 985-730-6700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65074
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City | CHARLOTTE
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State | NC
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Zip | 28265-0074
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Country | US
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Telephone | 800-377-8721
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Fax | 304-523-2241
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | VINCENT MORRA
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Credential |
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Telephone | 800-377-8721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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