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General NPI Number Information
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NPI Number | 1588474068
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Entity Type | Organization
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Legal Business Name | JEANNE GROUP LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 926 7TH ST
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City | MORGAN CITY
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State | LA
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Zip | 70380-1904
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Country | US
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Telephone | 985-384-3071
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Fax | 985-384-2316
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Provider Business Mailing Address
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Address Line | 7869 MAIN ST
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City | HOUMA
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State | LA
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Zip | 70360-4487
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Country | US
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Telephone | 985-873-8526
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Fax | 985-873-8541
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN PICOU BRUNET
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Credential | RPH
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Telephone | 985-873-8526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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