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General NPI Number Information
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NPI Number | 1386204659
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Entity Type | Organization
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Legal Business Name | HIGHRHEALTH
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 516 N BURNSIDE AVE
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City | GONZALES
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State | LA
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Zip | 70737-2830
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Country | US
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Telephone | 225-228-6291
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Fax | 225-289-6684
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Provider Business Mailing Address
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Address Line | 516 N BURNSIDE AVE
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City | GONZALES
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State | LA
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Zip | 70737-2830
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Country | US
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Telephone | 225-228-6291
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Fax | 225-289-6684
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Authorized Official
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Title or Position | EMPLOYEE
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Name | LONNA SPEARS HEGGELUND
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Credential |
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Telephone | 504-908-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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