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General NPI Number Information
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NPI Number | 1629595640
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Entity Type | Individual
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Provider Name | SHAYLA BOUIE RMA/ CNA
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 4202 N I-10 SERVICE RD W. METAIRIE, LA 70006
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City | METAIRIE
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State | LA
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Zip | 70006
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Country | US
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Telephone | 504-583-4716
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Fax |
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Provider Business Mailing Address
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Address Line | 58100 F AND M FIELDS LN
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City | SLIDELL
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State | LA
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Zip | 70461-2830
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Country | US
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Telephone | 504-583-4716
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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