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General NPI Number Information
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NPI Number | 1619456233
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Entity Type | Organization
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Legal Business Name | CHOICES BEHAVIORAL SPECIALTY HOSPITAL
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 3601 COLISEUM ST FL 6
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City | NEW ORLEANS
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State | LA
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Zip | 70115-3606
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Country | US
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Telephone | 504-644-2482
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Fax | 888-492-2728
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Provider Business Mailing Address
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Address Line | 2331 CANAL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-6503
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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 | CEO
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Name | MR. MICHAEL ROBERT TUCKER
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Credential |
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Telephone | 504-539-2481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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