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General NPI Number Information
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NPI Number | 1457239535
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Entity Type | Organization
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Legal Business Name | 360CARE AUDIOLOGY OF LOUISIANA LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 501 LOUISIANA AVE
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City | BATON ROUGE
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State | LA
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Zip | 70802-5921
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Country | US
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Telephone | 248-528-2116
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Fax | 502-996-8282
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Provider Business Mailing Address
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Address Line | 4350 BROWNSBORO RD STE 210
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City | LOUISVILLE
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State | KY
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Zip | 40207-1681
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Country | US
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Telephone | 248-528-2116
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Fax | 502-996-8282
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE ASSURANCE
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Name | JOY STEVENS
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Credential |
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Telephone | 502-244-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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