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General NPI Number Information
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NPI Number | 1801451380
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Entity Type | Organization
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Legal Business Name | TRANSITION ON PURPOSE LLC
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 450 E MILLS AVE APT 7
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City | BREAUX BRIDGE
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State | LA
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Zip | 70517-4415
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Country | US
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Telephone | 702-245-2876
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1115
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City | BREAUX BRIDGE
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State | LA
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Zip | 70517-1115
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Country | US
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Telephone | 702-245-2876
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. TAMIKA RENEE SCOTT
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Credential | MS, ABA, QMHA, QIDP
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Telephone | 702-245-2876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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Taxonomy #6
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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