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General NPI Number Information
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NPI Number | 1457974693
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Entity Type | Organization
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Legal Business Name | HIV-AIDS ALLIANCE FOR REGION TWO
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 3905 CONVENTION ST
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City | BATON ROUGE
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State | LA
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Zip | 70806-3806
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Country | US
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Telephone | 225-655-6422
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Fax | 225-927-7367
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Provider Business Mailing Address
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Address Line | 4550 NORTH BLVD STE 250
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City | BATON ROUGE
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State | LA
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Zip | 70806-4013
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Country | US
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Telephone | 225-424-1743
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Fax | 225-927-7367
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | SUZANNE LEBLANC
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Credential |
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Telephone | 225-424-1743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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