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General NPI Number Information
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NPI Number | 1114200870
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Entity Type | Organization
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Legal Business Name | REGIONAL HOSPICE CARE GROUP NWLA, LLC
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 1634 HIGHWAY 531
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City | MINDEN
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State | LA
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Zip | 71055-6530
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Country | US
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Telephone | 318-382-9396
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Fax | 318-377-2120
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Provider Business Mailing Address
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Address Line | REGIONAL HOSPICE CARE GROUP, NWLA 1634 HIGHWAY 531
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City | MINDEN
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State | LA
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Zip | 71055-6530
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Country | US
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Telephone | 318-382-9396
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Fax | 318-377-2120
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | ALEX E MAURICIO
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Credential |
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Telephone | 801-325-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | LA
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