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General NPI Number Information
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NPI Number | 1144114976
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Entity Type | Organization
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Legal Business Name | LOUELLA'S OPEN ARMS INC.
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1675 TRAIL BLAZER DR
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City | TALLAHASSEE
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State | FL
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Zip | 32310-3651
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Country | US
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Telephone | 850-508-1016
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 TRAIL BLAZER DR
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City | TALLAHASSEE
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State | FL
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Zip | 32310-3651
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Country | US
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Telephone | 850-508-1016
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AUSHIKA L DAWSON
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Credential | RN
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Telephone | 850-508-1016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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