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General NPI Number Information
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NPI Number | 1144210485
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Entity Type | Organization
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Legal Business Name | BAYOU HOME CARE L.L.C.
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 232 CIVIC CENTER BLVD
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City | HOUMA
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State | LA
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Zip | 70360
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Country | US
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Telephone | 985-580-2270
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Fax | 985-580-2202
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Provider Business Mailing Address
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Address Line | 8150 N CENTRAL EXPY STE 1800
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City | DALLAS
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State | TX
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Zip | 75206-1883
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Country | US
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Telephone | 469-839-3777
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Fax | 469-983-2083
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Authorized Official
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Title or Position | LICENSING & CREDENTIALING
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Name | ANGIE MARTIN
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Credential |
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Telephone | 903-787-7609
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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 | 1010
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License Number State | LA
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