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General NPI Number Information
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NPI Number | 1821886573
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Entity Type | Individual
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Provider Name | MS. KIA REESE
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 12400 JEFFERSON HWY APT 2904
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City | BATON ROUGE
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State | LA
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Zip | 70816-6257
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Country | US
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Telephone | 504-439-3973
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Fax |
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Provider Business Mailing Address
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Address Line | 10933 MAY BELLE CT
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City | BATON ROUGE
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State | LA
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Zip | 70815-5102
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Country | US
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Telephone | 504-439-3973
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 18057
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License Number State | LA
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