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General NPI Number Information
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NPI Number | 1699484881
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Entity Type | Organization
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Legal Business Name | DSKH RAYVILLE LLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 294 HIGHWAY 3048
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City | RAYVILLE
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State | LA
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Zip | 71269-3624
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Country | US
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Telephone | 318-728-2089
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Fax | 318-728-2012
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Provider Business Mailing Address
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Address Line | 294 HIGHWAY 3048
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City | RAYVILLE
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State | LA
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Zip | 71269-3624
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Country | US
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Telephone | 318-728-2089
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Fax | 318-728-2012
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Authorized Official
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Title or Position | MANAGER
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Name | DAWNE SMITH
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Credential |
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Telephone | 318-812-2140
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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 |
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License Number State |
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