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General NPI Number Information
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NPI Number | 1336486208
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Entity Type | Organization
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Legal Business Name | UNITED INVESTMENT GROUP OF LOUISIANA, LLC
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 1549 E 70TH ST SUITE 300
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City | SHREVEPORT
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State | LA
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Zip | 71105-5053
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Country | US
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Telephone | 800-937-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 1549 E 70TH ST SUITE 300
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City | SHREVEPORT
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State | LA
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Zip | 71105-5053
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Country | US
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Telephone | 800-937-4616
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEVEN B KITCHINGS
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Credential |
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Telephone | 800-937-4616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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