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General NPI Number Information
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NPI Number | 1992036818
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Entity Type | Organization
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Legal Business Name | WORKING TO ACHIEVE
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 2784 ANDOVER ST
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City | BATON ROUGE
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State | LA
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Zip | 70807-4401
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Country | US
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Telephone | 225-806-7358
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Fax | 866-202-3087
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Provider Business Mailing Address
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Address Line | 2784 ANDOVER ST
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City | BATON ROUGE
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State | LA
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Zip | 70807-4401
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Country | US
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Telephone | 225-806-7358
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Fax | 866-202-3087
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JENNA S WILLIAMS
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Credential | CBCS
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Telephone | 225-806-7358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | ABA 35132931N
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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