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General NPI Number Information
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NPI Number | 1457420879
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Entity Type | Organization
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Legal Business Name | FELICIANA CONSULTANTS, INC.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3613 COLLEGE STREET
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City | JACKSON
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State | LA
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Zip | 70748
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Country | US
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Telephone | 225-634-5658
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Fax | 225-634-2404
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Provider Business Mailing Address
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Address Line | 3613 COLLEGE STREET P.O. BOX 441
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City | JACKSON
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State | LA
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Zip | 70748
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Country | US
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Telephone | 225-634-5658
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Fax | 225-634-2404
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Authorized Official
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Title or Position | LMHP
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Name | MS. SYBIL D SMITH
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Credential | LMHP
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Telephone | 225-634-5658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1208
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License Number State | LA
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