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General NPI Number Information
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NPI Number | 1588085955
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Entity Type | Organization
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Legal Business Name | TRITON HOME HEALTH, LLC
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Dates
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Enumeration Date | 01/02/2014
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 1707 CHANTILLY DR STE B
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City | LA PLACE
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State | LA
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Zip | 70068-2447
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Country | US
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Telephone | 985-652-8092
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Fax | 985-652-8117
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Provider Business Mailing Address
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Address Line | 10615 JEFFERSON HWY
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City | BATON ROUGE
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State | LA
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Zip | 70809-7230
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Country | US
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Telephone | 225-769-2449
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Fax | 225-368-3135
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Authorized Official
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Title or Position | BILLING TEAM LEAD
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Name | STACY BLAND
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Credential |
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Telephone | 225-368-3145
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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 | 2203781808
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License Number State | LA
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