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General NPI Number Information
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NPI Number | 1033384367
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Entity Type | Organization
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Legal Business Name | AGAPE TOTAL CARE, L.L.C.
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 9353 HIGHWAY 182 LOT B
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City | OPELOUSAS
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State | LA
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Zip | 70570-1204
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Country | US
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Telephone | 337-942-5570
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Fax | 337-942-5078
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Provider Business Mailing Address
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Address Line | 9353 HIGHWAY 182 LOT B
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City | OPELOUSAS
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State | LA
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Zip | 70570-1204
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Country | US
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Telephone | 337-942-5570
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Fax | 337-942-5078
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ROSE MARIE WALLS
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Credential |
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Telephone | 337-942-5570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 6831
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6831
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License Number State | LA
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