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General NPI Number Information
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NPI Number | 1437053063
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Entity Type | Organization
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Legal Business Name | DA VINCI INNOVATIONS LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 1 GALLERIA BLVD STE 710C
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City | METAIRIE
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State | LA
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Zip | 70001-7592
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Country | US
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Telephone | 504-345-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 3832 LAKESHORE DR
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City | METAIRIE
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State | LA
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Zip | 70002-1419
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Country | US
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Telephone | 504-339-2048
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARK PROVENZANO
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Credential |
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Telephone | 504-339-2048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State | NULL
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