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General NPI Number Information
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NPI Number | 1871571778
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Entity Type | Organization
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Legal Business Name | WELLNECESSITIES ,INC.
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 8835 LINE AVENUE SUITE 400
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City | SHREVEPORT
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State | LA
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Zip | 71106-6718
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Country | US
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Telephone | 318-222-0885
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Fax | 318-222-0883
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Provider Business Mailing Address
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Address Line | 8835 LINE AVENUE SUITE 500
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City | SHREVEPORT
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State | LA
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Zip | 71106-6718
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Country | US
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Telephone | 318-222-0885
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Fax | 318-222-0883
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Authorized Official
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Title or Position | CEO /OWNER
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Name | LEA M DESMARTEAU
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Credential |
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Telephone | 318-222-0885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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