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General NPI Number Information
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NPI Number | 1437453057
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Entity Type | Organization
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Legal Business Name | ALEXANDER MILNE DEVELOPMENTAL SERVICES
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Dates
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Enumeration Date | 12/23/2010
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 1065 MILNE CIRCLE
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City | COVINGTON
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State | LA
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Zip | 70435-3000
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Country | US
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Telephone | 985-327-6550
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Fax | 985-327-6552
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Provider Business Mailing Address
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Address Line | 1065 MILNE CIRCLE
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City | COVINGTON
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State | LA
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Zip | 70435-3000
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Country | US
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Telephone | 985-327-6550
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Fax | 985-327-6552
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JODIE ROBINSON
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Credential |
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Telephone | 985-327-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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