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General NPI Number Information
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NPI Number | 1598989220
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Entity Type | Organization
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Legal Business Name | NIKKI LEIGH, INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7119 HWY 1 SOUTH
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City | MARKSVILLE
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State | LA
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Zip | 71351
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Country | US
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Telephone | 318-253-6553
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13524
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City | ALEXANDRIA
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State | LA
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Zip | 71315-3524
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Country | US
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Telephone | 318-445-4477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFERY A. CAUBARREAUX
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Credential |
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Telephone | 318-253-6553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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