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General NPI Number Information
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NPI Number | 1376848986
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Entity Type | Organization
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Legal Business Name | SOUTH REGION HEALTHCARE LLC
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 1420 GENERAL TAYLOR ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-3718
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Country | US
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Telephone | 504-895-7755
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Fax | 504-355-4876
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Provider Business Mailing Address
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Address Line | 405 NEBRASKA ST
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City | SOUTH HOUSTON
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State | TX
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Zip | 77587-3333
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Country | US
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Telephone | 832-229-3630
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Fax | 832-448-5756
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANIEZE M. WATKINS
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Credential |
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Telephone | 985-869-2933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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