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General NPI Number Information
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NPI Number | 1528207289
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Entity Type | Organization
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Legal Business Name | AUDUBON OF BATON ROUGE HOME HEALTH, INC.
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 3050 TEDDY DR
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City | BATON ROUGE
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State | LA
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Zip | 70809-1980
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Country | US
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Telephone | 225-761-1592
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Fax | 225-928-0364
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Provider Business Mailing Address
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Address Line | 9256 INTERLINE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70809-1907
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Country | US
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Telephone | 225-218-8009
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Fax | 225-218-0809
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAY BANKER JR.
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Credential |
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Telephone | 225-218-8009
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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 | 975
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License Number State | LA
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