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General NPI Number Information
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NPI Number | 1154506897
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Entity Type | Organization
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Legal Business Name | SENIOR CARE LLC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 3834 JOHNSON ST
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City | METAIRIE
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State | LA
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Zip | 70001
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Country | US
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Telephone | 504-456-6998
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Fax | 504-836-9998
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Provider Business Mailing Address
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Address Line | 3834 JOHNSON ST
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City | METAIRIE
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State | LA
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Zip | 70001
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Country | US
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Telephone | 504-456-6998
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Fax | 504-836-9998
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LEVAIORS GUY CARPENTER
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Credential |
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Telephone | 504-456-6998
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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 | 251E00000X
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License Number State | LA
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