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General NPI Number Information
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NPI Number | 1598944985
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Entity Type | Organization
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Legal Business Name | NEW VISIONS OF LIFE CARE SERV LLC.
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 1901 WESTBANK EXPRESSWAY STE. 400
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City | HARVEY
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State | LA
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Zip | 70058
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Country | US
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Telephone | 504-367-7724
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Fax | 504-367-7725
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Provider Business Mailing Address
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Address Line | 3848 SUE KER DRIVE
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City | HARVEY
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State | LA
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Zip | 70058
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Country | US
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Telephone | 504-367-7724
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Fax | 504-367-7725
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SONJA L. BEN
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Credential | BSM, BUSINESS MANAGE
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Telephone | 504-367-7724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 7151
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License Number State | LA
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