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NPI 1497208193

NPI 1497208193 : PRIORITY CARE : BATON ROUGE, LA

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General NPI Number Information
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    NPI Number           |    1497208193
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRIORITY CARE 
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Dates
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    Enumeration Date     |    07/28/2016
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    Last Update Date     |    01/11/2025
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Provider Practice Location Address
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    Address Line         |    2351 ENERGY DR STE 1100 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70808-2617
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    Country              |    US
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    Telephone            |    225-465-3080
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    Fax                  |    225-465-3706
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Provider Business Mailing Address
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    Address Line         |    2351 ENERGY DR STE 1100 
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    City                 |    BATON ROUGE
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    State                |    LA
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    Zip                  |    70808-2617
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    Country              |    US
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    Telephone            |    225-465-3080
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    Fax                  |    225-465-3706
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     CHANTEL  CROCKETT 
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    Credential           |    MA
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    Telephone            |    225-465-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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