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General NPI Number Information
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NPI Number | 1154384535
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Entity Type | Organization
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Legal Business Name | ACCUCARE MEDICAL L.L.C
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 9011 LINWOOD AVE
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City | SHREVEPORT
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State | LA
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Zip | 71106-6564
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Country | US
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Telephone | 318-687-1444
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Fax | 318-687-1012
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Provider Business Mailing Address
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Address Line | 9011 LINWOOD AVE
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City | SHREVEPORT
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State | LA
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Zip | 71106-6564
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Country | US
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Telephone | 318-687-1444
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Fax | 318-687-1012
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDY K STROUD
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Credential |
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Telephone | 318-687-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | LA
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