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General NPI Number Information
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NPI Number | 1114089356
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Entity Type | Organization
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Legal Business Name | HEAVEN-ON-EARTH NETWORK, INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 3200 2ND AVE
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8922
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Country | US
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Telephone | 337-562-1373
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Fax | 337-562-1374
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Provider Business Mailing Address
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Address Line | 3200 2ND AVE STE A
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8922
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Country | US
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Telephone | 337-562-1373
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Fax | 337-562-1374
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Authorized Official
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Title or Position | DIRECTOR
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Name | RENE M GUILLORY
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Credential |
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Telephone | 337-562-1373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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