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General NPI Number Information
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NPI Number | 1003995507
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Entity Type | Organization
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Legal Business Name | GUARDIAN HOSPICE CARE, LLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 5503 JOHN ESKEW BLVD SUITE B & C
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3725
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Country | US
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Telephone | 318-484-4418
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Fax | 318-484-2732
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Provider Business Mailing Address
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Address Line | 5503 JOHN ESKEW BLVD SUITE B & C
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3725
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Country | US
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Telephone | 318-484-4418
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Fax | 318-484-2732
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | MRS. RANDY BELTON
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Credential |
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Telephone | 601-709-1408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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