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General NPI Number Information
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NPI Number | 1891265591
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Entity Type | Organization
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Legal Business Name | SHELTER RESOURCES, INC.
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 12/12/2018
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Provider Practice Location Address
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Address Line | 3029 ROYAL ST
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City | NEW ORLEANS
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State | LA
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Zip | 70117-6740
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Country | US
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Telephone | 504-945-9455
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Fax | 504-942-2660
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Provider Business Mailing Address
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Address Line | PO BOX 3305
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City | NEW ORLEANS
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State | LA
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Zip | 70177-3305
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Country | US
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Telephone | 504-945-9455
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Fax | 504-942-2660
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. VICKI G. WEEKS
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Credential |
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Telephone | 504-942-2670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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