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General NPI Number Information
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NPI Number | 1831708718
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Entity Type | Organization
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Legal Business Name | ANGELS AND BLESSINGS LLC
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 106 BROADMOOR ST
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City | MONROE
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State | LA
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Zip | 71203-4124
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Country | US
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Telephone | 318-614-9043
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 INABNET BLVD APT 101
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City | MONROE
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State | LA
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Zip | 71203-7103
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Country | US
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Telephone | 318-614-9043
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALICE MARIE JONES
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Credential | COUNSELOR
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Telephone | 318-614-9043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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