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General NPI Number Information
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NPI Number | 1770375339
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Entity Type | Organization
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Legal Business Name | TRANSFORMATION PRIMARY CARE AND WELLNESS CLINIC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 6600 FRANKLIN AVE STE A2
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City | NEW ORLEANS
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State | LA
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Zip | 70122-5716
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Country | US
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Telephone | 504-444-2395
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Fax | 866-439-7448
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Provider Business Mailing Address
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Address Line | 650 POYDRAS ST STE 1400
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City | NEW ORLEANS
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State | LA
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Zip | 70130-6116
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Country | US
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Telephone | 504-221-3602
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ELILSHA RASHI COLLINS JOHNSON
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Credential | FNP
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Telephone | 504-444-2395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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