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General NPI Number Information
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NPI Number | 1861218612
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Entity Type | Organization
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Legal Business Name | DELTA BILLING, LLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 450 HIGHWAY 879
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City | OAK GROVE
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State | LA
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Zip | 71263-7103
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Country | US
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Telephone | 318-366-0133
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Fax |
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Provider Business Mailing Address
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Address Line | 450 HIGHWAY 879
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City | OAK GROVE
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State | LA
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Zip | 71263-7103
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Country | US
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Telephone | 318-366-0133
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY JARNEVICH
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Credential |
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Telephone | 318-366-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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