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General NPI Number Information
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NPI Number | 1669480430
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL HEALTHWEST - NEW ORLEANS, LLC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 3201 WALL BLVD SUITE B
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City | GRETNA
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State | LA
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Zip | 70056-7755
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Country | US
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Telephone | 504-433-5551
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Fax | 504-433-5535
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Provider Business Mailing Address
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Address Line | 15717 BELLE DR
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City | HAMMOND
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State | LA
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Zip | 70403-1439
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Country | US
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Telephone | 985-340-5998
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Fax | 985-340-5911
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Authorized Official
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Title or Position | COO
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Name | MR. JOHN M DAY
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Credential | BSN MSA
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Telephone | 985-340-5998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 458
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License Number State | LA
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