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General NPI Number Information
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NPI Number | 1518537125
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Entity Type | Organization
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Legal Business Name | ABBINGTON FOUNDATION OF LOUISIANA/GERALDINE WARD
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Dates
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Enumeration Date | 06/26/2021
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Last Update Date | 06/26/2021
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Provider Practice Location Address
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Address Line | 2002 20TH ST STE B103
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City | KENNER
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State | LA
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Zip | 70062-4404
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Country | US
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Telephone | 504-667-3302
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Fax | 504-667-3347
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Provider Business Mailing Address
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Address Line | 7 PRINCETON PL STE 103B
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City | KENNER
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State | LA
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Zip | 70065-4126
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Country | US
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Telephone | 504-305-9218
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GERALDINE WARD
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Credential | RN,
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Telephone | 504-667-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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