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General NPI Number Information
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NPI Number | 1093963290
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Entity Type | Organization
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Legal Business Name | ABSOLUTE CARE, INC.
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 7207 DESIARD ST STE 6
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City | MONROE
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State | LA
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Zip | 71203-3914
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Country | US
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Telephone | 318-938-2848
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Fax | 318-775-0714
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Provider Business Mailing Address
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Address Line | 7207 DESIARD ST STE 6
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City | MONROE
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State | LA
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Zip | 71203-3914
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Country | US
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Telephone | 318-938-2848
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Fax | 318-775-0714
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MARKUS BOSLEY
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Credential |
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Telephone | 318-938-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | SIL 20087
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License Number State | LA
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