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General NPI Number Information
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NPI Number | 1811166036
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Entity Type | Organization
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Legal Business Name | REST ADHC INC.
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 500 ROYAL STREET
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-238-4540
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Fax | 318-238-4545
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Provider Business Mailing Address
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Address Line | 500 ROYAL STREET
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City | NATCHITOCHES
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State | LA
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Zip | 71457
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Country | US
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Telephone | 318-238-4540
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Fax | 318-238-4545
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Authorized Official
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Title or Position | CEO
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Name | MS. SANDRA DENISE TOUSSAINT
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Credential |
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Telephone | 318-238-4540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 1625302
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License Number State | LA
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