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General NPI Number Information
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NPI Number | 1902005077
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Entity Type | Organization
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Legal Business Name | VERNON INVESTMENT GROUP, LLC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 213 ALEXANDRIA HWY
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City | LEESVILLE
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State | LA
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Zip | 71446-2147
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Country | US
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Telephone | 337-238-0506
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Fax | 337-238-1528
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Provider Business Mailing Address
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Address Line | PO BOX 1550
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City | LEESVILLE
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State | LA
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Zip | 71496-1550
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Country | US
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Telephone | 337-238-0506
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Fax | 337-238-1528
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Authorized Official
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Title or Position | MEMBER
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Name | DR. HANNA LUBBOS
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Credential | M.D.
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Telephone | 337-239-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1088
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License Number State | LA
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