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General NPI Number Information
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NPI Number | 1114495512
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Entity Type | Organization
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Legal Business Name | LA ASSISTANT SERVICES
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 12428 CADLEY CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32219-1861
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Country | US
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Telephone | 904-802-4363
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Fax | 904-713-0632
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Provider Business Mailing Address
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Address Line | 12428 CADLEY CIR
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City | JACKSONVILLE
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State | FL
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Zip | 32219-1861
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Country | US
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Telephone | 904-802-4363
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Fax | 904-713-0632
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Authorized Official
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Title or Position | AGENCY OWNER/CEO
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Name | LATONIA D ARTIS
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Credential |
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Telephone | 904-802-4363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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