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General NPI Number Information
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NPI Number | 1912135328
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 1700 LINDBERG DR
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City | SLIDELL
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State | LA
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Zip | 70458-8062
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Country | US
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Telephone | 985-641-0600
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 960375
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City | OKLAHOMA CITY
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State | OK
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Zip | 73196-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DEBORAH LEBLANC
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Credential |
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Telephone | 877-485-4474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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