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General NPI Number Information
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NPI Number | 1861304396
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Entity Type | Organization
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Legal Business Name | BAYOU LIFELINE TRANSIT LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1812 CHANCER LN
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City | SLIDELL
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State | LA
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Zip | 70461-4527
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Country | US
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Telephone | 504-232-1241
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 TOULON ST
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City | NEW ORLEANS
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State | LA
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Zip | 70129-1122
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Country | US
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Telephone | 504-232-1241
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHELBY B FIELDS JR.
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Credential |
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Telephone | 504-232-1241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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