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General NPI Number Information
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NPI Number | 1841707031
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Entity Type | Individual
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Provider Name | JONNIKA D ALLEN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 3868 IRWIN KUNTZ DR
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City | HARVEY
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State | LA
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Zip | 70058-2129
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Country | US
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Telephone | 504-638-0130
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Fax |
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Provider Business Mailing Address
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Address Line | 3868 IRWIN KUNTZ DR
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City | HARVEY
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State | LA
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Zip | 70058-2129
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Country | US
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Telephone | 504-638-0130
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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 | 174400000X
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Taxonomy Name | Specialist
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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 | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1744G0900X
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Taxonomy Name | Graphics Designer
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License Number |
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License Number State |
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