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General NPI Number Information
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NPI Number | 1932665049
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Entity Type | Individual
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Provider Name | KISHA WILLIAMS JAMES
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 15446 RIVERDALE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70816-1575
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Country | US
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Telephone | 225-788-3822
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Fax | 225-800-1070
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Provider Business Mailing Address
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Address Line | 10839 N RIDGE DR
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City | BATON ROUGE
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State | LA
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Zip | 70811-1758
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Country | US
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Telephone | 833-444-8500
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Fax | 225-800-1070
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN099376
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License Number State | LA
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