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General NPI Number Information
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NPI Number | 1538411178
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Entity Type | Organization
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Legal Business Name | RESOURCES FOR HUMAN DEVELOPMENT-HOUSING SUPPORT TEAM
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 2121 RIDGELAKE DR SUITE 206A
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City | METAIRIE
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State | LA
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Zip | 70001-2080
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Country | US
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Telephone | 504-828-5933
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Fax | 504-828-5936
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Provider Business Mailing Address
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Address Line | 2121 RIDGELAKE DR SUITE 206A
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City | METAIRIE
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State | LA
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Zip | 70001-2080
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Country | US
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Telephone | 504-828-5933
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Fax | 504-828-5936
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHANTEL VICKS
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Credential | MA
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Telephone | 504-828-5933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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