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General NPI Number Information
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NPI Number | 1366309395
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Entity Type | Organization
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Legal Business Name | ST LUKE HOUSE
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 7439 BISHOP OTT DR
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City | BATON ROUGE
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State | LA
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Zip | 70806-8930
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Country | US
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Telephone | 225-907-5264
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Fax |
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Provider Business Mailing Address
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Address Line | 619 ADELIA LN
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City | BATON ROUGE
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State | LA
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Zip | 70806-8706
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Country | US
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Telephone | 225-907-5264
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | TIFFANY STEPHENS
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Credential |
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Telephone | 225-573-4255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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