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General NPI Number Information
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NPI Number | 1932499530
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Entity Type | Organization
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Legal Business Name | NEW TRANSITIONS HEALTH CENTER LLC
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Dates
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Enumeration Date | 04/15/2011
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Last Update Date | 04/15/2011
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Provider Practice Location Address
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Address Line | 170 W WASHINGTON ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-7655
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Country | US
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Telephone | 225-603-2213
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Fax |
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Provider Business Mailing Address
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Address Line | 170 W WASHINGTON ST
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City | BATON ROUGE
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State | LA
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Zip | 70802-7655
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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 | ADMINISTRATOR
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Name | MRS. KERSHUNDALA WRIGHT O'ROURKE
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Credential | ADMIN., L.P.N.
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Telephone | 225-603-2213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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