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General NPI Number Information
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NPI Number | 1922212695
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Entity Type | Organization
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Legal Business Name | ANIOMA LIVING, INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3228 IBERVILLE ST
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City | NEW ORLEANS
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State | LA
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Zip | 70119-5424
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Country | US
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Telephone | 504-821-1140
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Fax | 504-368-9192
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Provider Business Mailing Address
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Address Line | PO BOX 8130
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City | NEW ORLEANS
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State | LA
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Zip | 70182-8130
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Country | US
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Telephone | 504-821-1140
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Fax | 504-368-9192
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Authorized Official
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Title or Position | Q
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Name | PAIGE A OKPALOBI
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Credential |
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Telephone | 504-368-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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