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General NPI Number Information
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NPI Number | 1891133567
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Entity Type | Organization
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Legal Business Name | MOUNTAIN TOP SERVICES LLC
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 1112 ENGINEERS RD
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City | BELLE CHASSE
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State | LA
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Zip | 70037-3131
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Country | US
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Telephone | 504-251-8477
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Fax | 504-469-5995
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Provider Business Mailing Address
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Address Line | 3108 LOYOLA DR
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City | KENNER
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State | LA
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Zip | 70065-4139
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Country | US
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Telephone | 504-251-8477
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Fax | 504-469-5995
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Authorized Official
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Title or Position | OWNE
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Name | DR. ESTHER CLARISSE WANDA
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Credential | PHARM. D
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Telephone | 504-251-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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