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General NPI Number Information
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NPI Number | 1053611186
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Entity Type | Organization
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Legal Business Name | FROM MY HEART TO YOURS MINISTRIES OF MONROE
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 3101 JACKSON ST
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City | MONROE
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State | LA
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Zip | 71202-5317
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Country | US
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Telephone | 318-512-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 61 MAGNOLIA DR
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City | MONROE
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State | LA
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Zip | 71203-2751
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Country | US
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Telephone | 318-512-7777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JACK HOLMES
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Credential | PASTOR
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Telephone | 318-512-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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