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General NPI Number Information
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NPI Number | 1831935279
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Entity Type | Organization
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Legal Business Name | MEDMEAL DIRECT, LLC
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Dates
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Enumeration Date | 07/05/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1 GALLERIA BLVD SUITE 710C
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City | METAIRIE
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State | LA
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Zip | 70001
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Country | US
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Telephone | 504-372-0266
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Fax | 504-389-1019
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Provider Business Mailing Address
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Address Line | PO BOX 6096
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City | METAIRIE
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State | LA
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Zip | 70009
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Country | US
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Telephone | 504-909-5282
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Fax | 504-389-1019
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | COREY JOSEPH HEBERT
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Credential | M.D.
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Telephone | 504-957-5701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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