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General NPI Number Information
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NPI Number | 1558178327
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Entity Type | Individual
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Provider Name | RONA LEBOEUF RPSS
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 500 RODERICK ST STE B
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City | MORGAN CITY
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State | LA
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Zip | 70380-2278
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Country | US
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Telephone | 985-380-2460
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Fax |
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Provider Business Mailing Address
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Address Line | 158 REGAL ROW
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City | HOUMA
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State | LA
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Zip | 70360-6097
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | OBHPSS1145
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License Number State | LA
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