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General NPI Number Information
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NPI Number | 1134959844
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Entity Type | Organization
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Legal Business Name | GOOD SHEPHERD PERSONAL CARE OF ARKANSAS LLC
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 101 E ADAMS ST
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City | HAMBURG
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State | AR
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Zip | 71646-3256
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Country | US
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Telephone | 870-831-9533
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Fax | 318-283-0210
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Provider Business Mailing Address
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Address Line | PO BOX 1497
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City | BASTROP
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State | LA
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Zip | 71221-1497
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Country | US
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Telephone | 318-450-2300
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Fax | 318-283-0210
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ROBLEAN HARRIS
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Credential |
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Telephone | 318-348-4233
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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 |
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License Number State |
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