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General NPI Number Information
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NPI Number | 1073988622
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Entity Type | Organization
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Legal Business Name | MCDOWELL JOHNSON & ASSOCIATES
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 616 FIRST ST
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City | DELHI
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State | LA
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Zip | 71232-2504
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Country | US
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Telephone | 318-878-4510
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Fax | 318-878-0228
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Provider Business Mailing Address
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Address Line | 616 FIRST ST PO BOX 781
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City | DELHI
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State | LA
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Zip | 71232-2504
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Country | US
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Telephone | 318-878-4510
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Fax | 318-878-0228
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LEROY MCDOWELL
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Credential |
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Telephone | 318-878-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2203781086
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License Number State | LA
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